Hepaticojejunostomy Anastomotic Strictures

Cauchy, François; Belghiti, Jacques

doi:10.1007/978-1-4939-2223-9_23

Gastrointestinal Surgery 2015

DOI: 10.1007/978-1-4939-2223-9_23

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Hepaticojejunostomy Anastomotic Strictures

François Cauchy

Jacques Belghiti

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2023

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Cited by 1 publication

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References 49 publications

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“…The percutaneous approach remains the approach of choice where percutaneous balloon dilation and stenting form the basis of ses of up to 94% [5,6,[11][12][13].…”

mentioning

confidence: 99%

Laparoscopic Transanastomotic Dilatation of Stennosed Biliodigestive. Description of the Approach Technique

Jibara A,

Garcia VG

2023

Act Scie Gastro

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Biliodigestive bypass is the surgical establishment of a bypass between some portion of the biliary tree and the digestive tract and has played an integral role in the surgical management of biliary tract disease. Stenosis of the hepatojejunal biliary-enteric anastomosis, defined as the reduction in the caliber of the anastomosis that leads to partial or total obstruction and consequently biliary retention, represents more than 50% of these complications. Stenosis recurrence is reported in 10% of patients and is a serious complication that can lead to recurrent episodes of cholangitis, biliary cirrhosis, liver failure, and death. When it is not possible to perform the endoscopic or percutaneous approach, or they have failed, surgical management of the stenosis is considered, for which we describe the use of the transanastomotic laparoscopic dilation technique of biliodigestive stricture, which consists in disarming the 50% of the anastomosis and dilate it under direct vision using a Maryland dissector controlled and selectively either to the common duct or to both ducts separately. Also through this approach it allows us to accurately visualize if the stenosis is from the duct bile duct or jejunal loop and the presence of biliary sludge or stones inside the bile duct. This approach offers the advantages of minimally invasive surgery while reducing the injury and devascularization to the perihilar biliary tissue that occurs during a reconfection.

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“…The percutaneous approach remains the approach of choice where percutaneous balloon dilation and stenting form the basis of ses of up to 94% [5,6,[11][12][13].…”

mentioning

confidence: 99%

Laparoscopic Transanastomotic Dilatation of Stennosed Biliodigestive. Description of the Approach Technique

Jibara A,

Garcia VG

2023

Act Scie Gastro

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Hepaticojejunostomy Anastomotic Strictures

Cited by 1 publication

References 49 publications

Laparoscopic Transanastomotic Dilatation of Stennosed Biliodigestive. Description of the Approach Technique

Laparoscopic Transanastomotic Dilatation of Stennosed Biliodigestive. Description of the Approach Technique

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