30 March 2026
: Case report 
Laparoscopic Biliary Revision for Choledocholithiasis After Roux-en-Y-Gastric Bypass: A Case Report and Discussion of Management Strategies
Challenging differential diagnosis, Diagnostic / therapeutic accidents, Management of emergency care, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)
Robin Benhauresch ABEF 1, Alexander A. Gogos AD 2, Bernhard Magdeburg AD 3, Christopher Soll E 1, Magdalena Biraima-Steinemann AE 1, Marius Arbogast ABDEF 1*DOI: 10.12659/AJCR.950040
Am J Case Rep 2026; 27:e950040
Table 1 Synthesized data compiled and structured for illustrative purposes, presenting key metrics and relationships derived from aggregated information.
| Approach | Technical success | Clinical success | Complication rate | Advantages | Limitations | Sources |
|---|---|---|---|---|---|---|
| Device-assisted ERCP (DBE/SBE) | 68–82% | ~65% | ~3% | Minimally invasive, no surgery | Long procedure time, limited tool maneuverability, lower cannulation rates | [,,]1 |
| Laparoscopic-assisted ERCP (LA-ERCP via gastrotomy) | 92–97% | 94–95% | ~15% | High success, allows simultaneous cholecystectomy | Requires OR coordination, more invasive, risk of leak/infection | [,,–]1 |
| Endoscopic ultrasound-directed transgastric ERCP (EDGE) | 95–96% | – | ~6.5% | Single-session, high success, less invasive | Risk of stent migration (13%), requires advanced endoscopy setup | [,,]2 |