Hemihepatectomy With Hepaticojejunostomy for Irreparable Defects of the Bile Ducts

Sanders, R. L.

doi:10.1001/archsurg.1949.01240030763003

Cited by 10 publications

(5 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The history of biliary diversion procedures began almost a century ago, with the first report of choledochojejunostomy (CJ), the predecessor of hepaticojejunostomy (HJ), made in 1921 by Reid [ 10 ] whereas Maingot [ 11 ] presented the first case of concomitant cholecystectomy and CJ. The first report with the term hepaticojejunostomy (HJ) was made in the literature in 1949 by Sanders in a case of hemihepatectomy with HJ for irreparable defects of the bile ducts [ 12 ]. In 1950, Best introduced the use of T-tube in cases of CJ [ 13 ].…”

Section: Milestones Of the Evolution Of Biliary Diversion Procedurmentioning

confidence: 99%

The Hepaticojejunostomy Technique with Intra-Anastomotic Stent in Biliary Diseases and Its Evolution throughout the Years: A Technical Analysis

Moris

Papalampros

Vailas

et al. 2016

Gastroenterology Research and Practice

View full text Add to dashboard Cite

Roux-en-Y hepaticojejunostomy (RYHJ) is currently considered as the definitive treatment for iatrogenic bile duct injuries and the principal representative of biliary diversion procedures. This technique has met many milestones of extensive evolution, particularly the last years of concomitant technological evolution (laparoscopic/robotic approach). Anastomotic strictures and leaks, which may have deleterious effects on the survival and quality of life of a patient with biliary obstruction of any cause, made the need of the development of a safe and efficient RYHJ compulsory. The aim of this technical analysis and the juxtaposed discussions is to elucidate with the most important milestones and technical tips and tricks all aspects of a feasible and reliable RYHJ technique that is performed in our center for the last 25 years in around 400 patients.

show abstract

Section: Milestones Of the Evolution Of Biliary Diversion Procedurmentioning

confidence: 99%

The Hepaticojejunostomy Technique with Intra-Anastomotic Stent in Biliary Diseases and Its Evolution throughout the Years: A Technical Analysis

Moris

Papalampros

Vailas

et al. 2016

Gastroenterology Research and Practice

View full text Add to dashboard Cite

show abstract

“…All the operations can be said to have succeeded in derived bile, since the change of the jaundice index after the intrahepatic-cholangiojeju nostomy was improved remarkably, as shown in Fig.6, admitting a little difference in every case. Especially in the cases of benign stenosis (No. 11,No.…”

Section: The Change Of the Jaundice Indexmentioning

confidence: 99%

Studies on Intrahepatic-Cholangiojejunostomy

Wakizaka

Nagao

1963

Kurume Med. J.

View full text Add to dashboard Cite

“…Thus, Sanders et al. first described an alternative surgical procedure in 1949, the hepaticojejunostomy (HJ), which is still practiced with positive outcomes [4] . Roux-en-Y HJ is a surgical procedure performed for benign or malignant strictures, large gallstone burden, bile duct injury, chronic biliary infection, bile duct tumors, and adjunct with liver transplantation [5] .…”

Section: Introductionmentioning

confidence: 99%

Novel case of percutaneous access of afferent limb of Roux-en-Y hepaticojejunostomy for biliary decompression and jejunoplasty in a patient with primary sclerosing cholangitis

Goel

Thibodeau

Coelho

et al. 2020

Radiology Case Reports

View full text Add to dashboard Cite

Primary sclerosing cholangitis is a rare condition characterized by multifocal fibrotic bile duct strictures and progressive liver disease. Due to its recurrence even after liver transplantation, an alternative surgical procedure, the Roux-en-Y hepaticojejunostomy, is practiced with positive outcomes. We present a case of a 55-year-old female with history of primary sclerosing cholangitis and Roux-en-Y hepaticojejunostomy approximately 25 years ago who presented to the emergency department with acute cholangitis. Computed tomography of the abdomen revealed a dilated loop of small bowel in the right upper quadrant and mid-abdomen with normal bile duct caliber. Interventional radiology was consulted for percutaneous biliary and Roux limb decompression. Ultrasound was utilized to identify and percutaneously access the dilated afferent jejunal limb. With the help of a T-fastener, the jejunal loop was tacked against the anterior abdominal wall and the system was successfully decompressed with a drain left in place. On follow-up, delayed contrast transit through the Roux limb and a stricture in the native jejunum distal to the anastomosis was identified. Hampering of the downstream flow of bile was noted and this was determined to be the likely cause of the initial episode of cholangitis. The strictured bowel segment was balloon-dilated by interventional radiology. Repeat injection of contrast revealed significant improvement in the caliber of the stenotic segment. At 3 weeks' postprocedure, a follow-up enteroscopy of the bowel was performed through the same percutaneous access site. Using this technique, the patient avoided a major invasive surgical procedure.

show abstract

Hemihepatectomy With Hepaticojejunostomy for Irreparable Defects of the Bile Ducts

Cited by 10 publications

References 1 publication

The Hepaticojejunostomy Technique with Intra-Anastomotic Stent in Biliary Diseases and Its Evolution throughout the Years: A Technical Analysis

The Hepaticojejunostomy Technique with Intra-Anastomotic Stent in Biliary Diseases and Its Evolution throughout the Years: A Technical Analysis

Studies on Intrahepatic-Cholangiojejunostomy

Novel case of percutaneous access of afferent limb of Roux-en-Y hepaticojejunostomy for biliary decompression and jejunoplasty in a patient with primary sclerosing cholangitis

Contact Info

Product

Resources

About