Re-do Laparoscopic Hepaticojejunostomy: Technique and Outcomes

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dc.contributor.authorJaved, Amiten_US
dc.contributor.authorCH, Naveen Kumaren_US
dc.contributor.authorAgarwal, Anilen_US
dc.date.accessioned2023-07-21T11:38:53Z
dc.date.available2023-07-21T11:38:53Z
dc.date.issued2021-12
dc.description.abstractBackground & Aim: Roux-en-Y hepaticojejunostomy (RYHJ) is the most common treatment done for benign biliary strictures and as a part of for post CDC excision biliary drainage. In the long term follow up, RYHJ stenosis is a dreaded complication, both for the patients and the attending surgeon, in view of the complexity and difficulty in its management. This is traditionally managedby a combination of medical, radiological and open surgical techniques. There are only a few reports describing the management of strictured biliary anastomosis by a laparoscopic technique. The aim of the present study is to describe our experience of laparoscopic re- establishment of biliary continuity(Re-do hepatico-jejunostomy) Methods: Retrospective analysis of prospectively collected data of RYHJ stenosis post benign biliary stricture (BBS) repair and choledochal cyst (CDC) excision, treated by laparoscopic re-do RYHJ, between January 2018 to December 2018 in the department of GI Surgery, GB Pant Institute & Maulana Azad Medical College. Results: 6 patients underwent laparoscopic Re-do RYHJ during the study period. 4 patients developed RYHJ stenosis post open BBS repair and 2 after open CDC excision. The presenting complaints was repeated episodes of fever with jaundice, refractory to medical management. Three patients also had hepatolithiasis.en_US
dc.identifier.affiliationsDepartment of GI Surgery, GB Pant Institute of Postgraduate Medical Education & Research & Maulana Azad Medical College, Delhi University, New Delhi.en_US
dc.identifier.citationJaved Amit, CH Naveen Kumar, Agarwal Anil. Re-do Laparoscopic Hepaticojejunostomy: Technique and Outcomes. Tropical Gastroenterology. 2021 Dec; 42(4): 198-204en_US
dc.identifier.issn0250-636X
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/221069
dc.languageenen_US
dc.publisherAll India Institute of Medical Sciencesen_US
dc.relation.issuenumber4en_US
dc.relation.volume42en_US
dc.source.urihttps://dx.doi.org/10.7869/tg.652en_US
dc.subjectLaparoscopic hepatico-jejunostomyen_US
dc.subjectRe-do RYHJen_US
dc.subjectpostcholecystectomy benign biliary strictureen_US
dc.subjectBilioenteric anastomosis.en_US
dc.titleRe-do Laparoscopic Hepaticojejunostomy: Technique and Outcomesen_US
dc.typeJournal Articleen_US
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