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Roux-en-Y choledochojejunostomy – indications same as Roux-en-Y hepaticojejunostomy. Roux-en-Y pancreas transplant [6] Roux-en-Y pancreas reconstruction after blunt abdominal trauma. [7] Roux-en-Y hepaticojejunostomy or choledochojejunostomy with gastrojejunostomy as palliation for irresectable pancreatic head cancer. [8]
CDD is an alternative to choledochojejunostomy, a procedure which involves creating an anastomosis of the CBD to the jejunum. [9] CDD is less technically challenging as the procedure is fast and simple with less anastomotic sites and does not require the creation of a Roux-en-Y anastomosis . [ 5 ]
Choledochal cysts are treated by surgical excision of the cyst with the formation of a roux-en-Y anastomosis hepaticojejunostomy/ choledochojejunostomy to the biliary duct. Future complications include cholangitis and a 2% risk of malignancy, which may develop in any part of the biliary tree. A recent article published in the Journal of Surgery ...
Stylised diagram of choledochojejunostomy indicating anastomoses A surgically created passage between the common bile duct and the jejunum in a procedure called a choledochojejunostomy , can be carried out to relieve the symptoms of biliary obstruction as well as allows the bile duct to drain.
The surgery involves exposing the porta hepatis (the area of the liver from which bile should drain) by radical excision of all bile duct tissue up to the liver capsule and attaching a Roux-en-Y loop of jejunum to the exposed liver capsule above the bifurcation of the portal vein creating a portoenterostomy. [1]
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The tissue removed during a pancreaticoduodenectomy Whipple surgery. The most common technique of a pancreaticoduodenectomy consists of the en bloc removal of the distal segment (antrum) of the stomach, the first and second portions of the duodenum, the head of the pancreas, the common bile duct, and the gallbladder.
Impacted gallstone in the cystic duct is obstructing the common hepatic duct. Mirizzi's syndrome is a rare complication in which a gallstone becomes impacted in the cystic duct or neck of the gallbladder causing compression of the common hepatic duct, resulting in obstruction and jaundice.