Subparietal hepaticojejunal access loop for the long-term management of intrahepatic stones

Beckingham, I. J.; Beningfield, Steve; Bornman, P. C.; Terblanche, J.

doi:10.1046/j.1365-2168.1998.00827.x

Cited by 27 publications

(22 citation statements)

References 31 publications

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“…Retained or re‐formed calculi are important problems in the management of intrahepatic stone disease both in oriental countries9 and also in the West 10…”

Section: Discussionmentioning

confidence: 99%

“…The unpleasant side effects of a biliary stoma can be prevented by a subcutaneous or subparietal hepaticojejunal access loop without a stoma,20 but this access to the biliary tree requires another surgical procedure, prolonged radiation exposure, antibiotic therapy, and hospital admission 10…”

Section: Discussionmentioning

confidence: 99%

“…The absence of morbidity and mortality related to this technique allows us to believe it should be indicated whenever a bilioenteric anastomosis is performed for the treatment of bilateral intrahepatic stone disease, with or without hepatic resection. It avoids the side effects of the biliary cutaneous stoma associated with hepaticocutaneousjejunostomy,19 and the need for further multiple surgical procedures inherent to other techniques, such as subparietally placed loops 10…”

Section: Discussionmentioning

confidence: 99%

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A new biliary access technique for the long-term endoscopic management of intrahepatic stones

Cunha

Herman

Machado

et al. 2002

Journal of Hepato-Biliary-Pancreatic Surgery

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Intrahepatic stone disease poses a difficult postoperative management problem due to frequent stone recurrence. Most of the methods proposed for long-term access to the intrahepatic biliary tree require multiple sessions of additional, usually invasive, procedures. An alternative method for endoscopic long-term access to the intrahepatic ducts, represented by a side-to-side anastomosis between the isolated Roux-en-Y jejunal limb of the bilioenteric bypass and the duodenum (duodenojejunostomy), was used in eight patients with retained and/or recurrent stones after surgical treatment of intrahepatic stone disease. There were no short- or long-term complications or mortality associated with the duodenojejunostomy. Postoperative endoscopic access to the intrahepatic ducts was successfully achieved in five of six patients: one with stone recurrence, one with a left hepatic duct stricture and stone recurrence and one with known retained postoperative stones. In two patients, no stones were found at endoscopy. Side-to-side duodenojejunostomy may be useful in the long-term endoscopic management of recurrent intrahepatic biliary stone disease and should be indicated whenever a bilioenteric anastomosis is performed for the treatment of bilateral intrahepatic stone disease.

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“…Retained or re‐formed calculi are important problems in the management of intrahepatic stone disease both in oriental countries9 and also in the West 10…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A new biliary access technique for the long-term endoscopic management of intrahepatic stones

Cunha

Herman

Machado

et al. 2002

Journal of Hepato-Biliary-Pancreatic Surgery

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show abstract

“…6 Using this technique in 21 patients with residual or recurrent intrahepatic stones, we achieved successful intrahepatic biliary access in 95 (98%) of 97 puncture attempts. 7 Several technical points in the jejunal loop construction are useful to create a loop that is easy to identify and enter. 8 The access limb should be short and straight between the hepaticojejunostomy and the site of subparietal fixation.…”

mentioning

confidence: 99%

Liver Resection for Complicated Hepatolithiasis—Reply

Cheung¹,

Kwok²

2006

Arch Surg

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“…The original cutaneous stoma has been replaced by a subparietal jejunal loop 7. In 21 patients with residual or recurrent intrahepatic stones we achieved successful intrahepatic biliary access in 95 (98%) of 97 puncture attempts 8. Several technical points in the jejunal loop construction are useful to create a loop which is easy to identify and enter.…”

mentioning

confidence: 99%

Ductal dilatation and stenting for residual hepatolithiasis

Beckingham¹,

Terblanche²,

Beningfield³

1999

Gut

Self Cite

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Subparietal hepaticojejunal access loop for the long-term management of intrahepatic stones

Abstract: The subparietal access loop permits long-term access to the intrahepatic ducts allowing removal of stones and dilatation of strictures with minimal patient discomfort and low morbidity.

Cited by 27 publications

References 31 publications

A new biliary access technique for the long-term endoscopic management of intrahepatic stones

A new biliary access technique for the long-term endoscopic management of intrahepatic stones

Liver Resection for Complicated Hepatolithiasis—Reply

Ductal dilatation and stenting for residual hepatolithiasis

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