INTRODUCTION: While laparoscopy-assisted endoscopic retrograde cholangiopancreatography can be performed for the diagnosis and management of pancreaticobiliary diseases in patients with Roux-en-Y (RY) anatomy; the technical feasibility of performing laparoscopy-assisted endoscopic ultrasound (EUS) is unknown. METHODS: In this report, we describe the technique for performing laparoscopy-assisted EUS in two patients with RY gastric bypass anatomy who presented with obstructive jaundice, abnormal liver function tests, and dilated biliary tree. RESULTS: While the examination was normal in one patient, EUS-guided fine needle aspiration of pancreatic head mass revealed adenocarcinoma in the other. DISCUSSION: Laparoscopic assisted EUS examination including FNA is feasible in Roux-en-Y surgical anatomy.
INTRODUCTION: While laparoscopy-assisted endoscopic retrograde cholangiopancreatography can be performed for the diagnosis and management of pancreaticobiliary diseases in patients with Roux-en-Y (RY) anatomy; the technical feasibility of performing laparoscopy-assisted endoscopic ultrasound (EUS) is unknown. METHODS: In this report, we describe the technique for performing laparoscopy-assisted EUS in two patients with RY gastric bypass anatomy who presented with obstructive jaundice, abnormal liver function tests, and dilated biliary tree. RESULTS: While the examination was normal in one patient, EUS-guided fine needle aspiration of pancreatic head mass revealed adenocarcinoma in the other. DISCUSSION: Laparoscopic assisted EUS examination including FNA is feasible in Roux-en-Y surgical anatomy.
Authors: Evan L Fogel; Mario deBellis; Lee McHenry; James L Watkins; John Chappo; Harvey Cramer; Suzette Schmidt; Laura Lazzell-Pannell; Stuart Sherman; Glen A Lehman Journal: Gastrointest Endosc Date: 2006-01 Impact factor: 9.427
Authors: Matthew L Silviera; Mark J Seamon; Brian Porshinsky; Mark P Prosciak; Vijay A Doraiswamy; Cecilia F Wang; Manuel Lorenzo; Michael Truitt; John Biboa; Amy M Jarvis; Vimal K Narula; Steven M Steinberg; S Peter Stawicki Journal: J Gastrointestin Liver Dis Date: 2009-03 Impact factor: 2.008
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