A shorter loop in Roux-Y hepatojejunostomy reconstruction for choledochal cysts is equally effective: preliminary results of a prospective randomized study

Diao, Mei; Li, Long; Zhang, Jinzhe; Wei, Cheng

doi:10.1016/j.jpedsurg.2009.12.022

Cited by 52 publications

(36 citation statements)

References 5 publications

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“…However, this procedure is being performed less because of the development of cholangitis and/or bile duct cancer resulting As Roux-en-Y reconstruction is liable to induce cholestasis due to insufficient motility of the elevated jejunum, maintaining a rather short limb has been recommended [122]. In children, the Roux-en-Y limb is reported to extend excessively with growth, causing complications; thus, even a limb of around 20 cm in length does not seem to cause problems [125].…”

Section: Commentsmentioning

confidence: 99%

Japanese clinical practice guidelines for pancreaticobiliary maljunction

et al. 2012

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There have been no clinical guidelines for the management of pancreaticobiliary maljunction (PBM). The Japanese Study Group on Pancreaticobiliary Maljunction (JSPBM) has proposed to establish clinical practice guidelines on how to deal with PBM, with the support of the Japan Biliary Association (JBA). Because the body of evidence-based literature is relatively small, we decided to create guidelines based on the consensus of experts, using the medical literature for reference. A total of 46 clinical questions (CQs) were considered by the members of the editorial committee responsible for the guidelines. The CQs covered distinct aspects of PBM: (1) Concepts and Pathophysiology (10 CQs); (2) Diagnosis (10 CQs); (3) Pancreatobiliary complications (9 CQs); and (4) Treatments and prognosis (17 CQs). Statements and comments for each CQ were prepared by the guidelines committee members and collaborating partners. The CQs were completed after review by members of the editorial committee, meetings of this committee, public comments on the homepages of the JSPBM and the JBA, public hearings, and assessment and approval by the guidelines evaluation board. PBM includes cases where the bile duct is dilated (PBM with biliary dilatation) and those in which it is not (PBM without biliary dilatation). In these guidelines, PBM with biliary dilatation is defined as being identical to congenital biliary dilatation of Todani type I (except for type Ib) and type IV-A, both of which are accompanied by PBM in almost all cases. These guidelines are created to provide assistance in the clinical practice of PBM management; their contents focus on clinical utility, and they include general information on PBM to make this disease more widely recognized.

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Section: Commentsmentioning

confidence: 99%

Japanese clinical practice guidelines for pancreaticobiliary maljunction

et al. 2012

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“…With laparoscopic assistance, a urethroscope or catheter was introduced into the common channel to irrigate and eliminate the protein plugs. To minimize redundant Roux loop, an individualized jejunal Roux loop length was tailored according to the distance between the umbilicus and the hepatic hilum [6] and fashioned extracorporeally through the enlarged umbilical wound. It was then positioned next to the hepatic hilum through the retrocolic route.…”

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confidence: 99%

Laparoscopic versus Open Roux-en-Y hepatojejunostomy for children with choledochal cysts: intermediate-term follow-up results

Diao

Wei

2010

Surg Endosc

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“…6 The mesenteric defects were closed extracorporeally. The Roux loop was then brought to the hepatic hilum through the retrocolic route laparoscopically.…”

Section: Methodsmentioning

confidence: 99%