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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 suggested that choledochal cysts could also be treated with single-incision laparoscopic hepaticojejunostomy with comparable results and less scarring.
Mirizzi's syndrome is a rare complication in which a gallstone becomes impacted in the cystic duct or neck of the ... Roux-en-Y hepaticojejunostomy has shown good ...
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]
Postoperative complications include inflammation and narrowing within the surgical site and sump syndrome. [5] Given that the duodenum is in a diseased state, or a tension-free anastomosis cannot be created, a CDD should not be performed and alternative bypass procedures could be considered. [ 5 ]
Three parameters determine the treatment plan: the type of obstructive lesion, the blockage site (inframesocolic or supramesocolic), and the patency of the major anastomoses for the hepaticojejunostomy and pancreaticojejunostomy. The standard of care for afferent loop syndrome patients is typically 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]
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Many complications that followed jejunoileal bypass operations were caused by bacterial overgrowth in the excluded blind loop. The arthritis-dermatitis syndrome was one of the common distressing disorders. The pathogenetic mechanism was thought to be an immune-complex-mediated process related to bypass enteritis. [citation needed]