Immunoglobulin G4-associated cholangitis mimicking cholangiocarcinoma treated by laparoscopic choledochectomy with intracorporeal Roux-en-Y hepaticojejunostomy
However, even hepaticojejunostomy
, which successfully solves the problem of extrahepatic biliary obstruction, in 7%-38% of patients can result in anastomotic strictures which require subsequent percutaneous, transhepatic or endoscopic dilation.
Choledochal cyst excision, cholecystectomy, Roux-en-Y hepaticojejunostomy
, and appendectomy procedures were performed on the patient.
Four patients had Type-I choledochal cysts, and underwent Roux-en-Y hepaticojejunostomy
or hepaticoduodenostomy for billiary reconstruction during the surgical treatment of choledochal cyst: which is better?
He also discussed in detail fluids and electrolytes balance, sepsis control, anaemia, clotting abnormalities, definite treatment, end to end repair and Roux-en-y hepaticojejunostomy
besides putting tube drainage.
Second was Strassburg type E1, which needed choledochojejunostomy and third was Strassburg type E3 in which hepaticojejunostomy
High or low hepaticojejunostomy
for bile duct strictures.
The cases detected at the time of surgery were managed surgically by end-to-end anastomosis over a T-tube (two cases) and Roux-en-Y hepaticojejunostomy
Pancreaticoduodenectomy (Whipple's procedure) with pancreaticojejunostomy, hepaticojejunostomy
and gastrojejunostomy was done.
Given that there was no improvement despite this procedure, hepaticojejunostomy
and surgical biliary tract cleansing were performed, and the patient was discharged home.
The cohort of 44 patients, all of whom had major bile duct injuries repaired by Roux-en-Y hepaticojejunostomy
, is unique in respect of the number of patients evaluated.