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Roux-en-Y reconstruction following partial or complete gastrectomy for stomach cancer. [4] Roux-en-Y hepatico jejuno stomy used to treat (macroscopic) bile duct obstruction which may arise due to: a common bile duct tumour or hepatic duct tumour (e.g. resection of cholangiocarcinoma) [5] a bile duct injury (e.g. cholecystectomy, iatrogenic, trauma)
The mini-gastric bypass uses the low set loop reconstruction and thus has rare chances of bile reflux. The MGB has been suggested as an alternative to the Roux-en-Y procedure due to the simplicity of its construction and is becoming more and more popular because of low risk of complications and good sustained weight loss.
2006-06-14 22:02 Topnife 655×671×8 (93923 bytes) Graphic depiction of anatomy of Gastric Bypass, Roux en-Y (Proximal Technique) Courtesy of Ethicon Endosurgery, used with permission Author: Ethicon Endosurgery, Inc.
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Late complications: They include gastric stenosis, nutrient deficiencies, and Gastroesophageal reflux disease. For gastric stenosis, the symptoms are food intolerance and vomiting. [42] For the gastroesophageal reflux disease, which due to post-surgery changes of reduced lower esophageal sphincter tension and increased intragastric pressure.
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 ...
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]
These include mother-baby and SpyGlass cholangioscopes (to help in diagnosis by directly visualizing the duct as opposed to only obtaining X-ray images [13] [14] [15]) as well as balloon enteroscopes (e.g. in patients that have previously undergone digestive system surgery with post-Whipple or Roux-en-Y surgical anatomy). [16]