Stepwise Percutaneous Approach to Treat Severe Benign Hepaticojejunostomy Stenosis

Nahab, Bashar; Sriwastwa, Aakanksha; Shelton, Charles; Ray, Charles E.; Makramalla, Abouelmagd; Chadalavada, Seetharam; Valeshabad, Ali Kord

doi:10.1055/s-0042-1757343

Semin intervent Radiol

2022

DOI: 10.1055/s-0042-1757343

|View full text |Cite

Stepwise Percutaneous Approach to Treat Severe Benign Hepaticojejunostomy Stenosis

Bashar Nahab

Aakanksha Sriwastwa

Charles Shelton

et al.

Abstract: How I Do It 435This document was downloaded for personal use only. Unauthorized distribution is strictly prohibited.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2024

Publication Types

Select...

Article1

Relationship

Self Cite0

Independent1

Authors

Journals

Cited by 1 publication

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Outcomes of revisional surgery for stenosed hepaticojejunostomy procedures

Fadel,

Ibraheem,

Hassan

et al. 2024

The Egyptian Journal of Surgery

View full text Add to dashboard Cite

Background Although hepaticojejunostomy provides durable and efficient access for bilioenteric continuity, it is not free from complications, as stenosis could occur in 25% of cases. Radiologically guided interventions are the best options for managing stenosed anastomoses. However, about 30% of stenosed patients show failure. Thus, surgical intervention (redo) is a must in such circumstances. Herein, we describe the outcomes of redo surgery for patients diagnosed with stenosed hepaticojejunostomy after failed radiological interventions. Patients and methods During the study period, we encountered 52 patients with stenosed hepaticojejunostomy, from whom 20 cases showed failed radiological intervention, and they were enrolled in our study, and their data were collected and retrospectively reviewed. Results The primary procedure was performed for cholecystectomy-related biliary injury (80%), choledochal cyst (15%), and as a step of the Whipple procedure (5%). All patients presented with jaundice, while 25% of them had cholangitis. Radiological assessment showed Bismuth class I, II, III, and IV in 20, 45, 25, and 10%, respectively. The time interval between the primary and the redo procedure ranged between 6 months and 5 years. Operative time ranged between 110 and 150 min, and hospital stay ranged between 4 and 10 days. Postoperative complications included bile leakage (5%), pulmonary embolism (5%), wound infection (20%), and incisional hernia (10%). No patients developed restenosis during the follow-up period. History of cholangitis was a significant risk factor for postoperative morbidity. Conclusion Revisional procedures for stenosed hepaticojejunostomy are considered safe and efficacious. The safety is manifested in the accepted complication rate, while the efficacy is manifested in the excellent success rate. However, it should be preserved only for patients with failed radiological interventions.

show abstract

Outcomes of revisional surgery for stenosed hepaticojejunostomy procedures

Fadel,

Ibraheem,

Hassan

et al. 2024

The Egyptian Journal of Surgery

View full text Add to dashboard Cite

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Stepwise Percutaneous Approach to Treat Severe Benign Hepaticojejunostomy Stenosis

Abstract: How I Do It 435This document was downloaded for personal use only. Unauthorized distribution is strictly prohibited.

Cited by 1 publication

References 30 publications

Outcomes of revisional surgery for stenosed hepaticojejunostomy procedures

Outcomes of revisional surgery for stenosed hepaticojejunostomy procedures

Contact Info

Product

Resources

About