Roux-en-Y Choledochojejunostomy Shawnn Nichols Mark Bloomston DEFINITION Choledochojejunostomy involves the anastomosis of the common bile duct (CBD) to the jejunum, thereby reestablishing continuity of biliary flow (FIG 1). It may be used for repair of biliary strictures, after traumatic or iatrogenic CBD injury, or following for surgical resection for benign …
Biliary reconstruction using Roux-en-Y choledochojejunostomy has been suggested as a risk factor for the development of nonanastomotic biliary strictures (NAS) after liver transplantation. Roux-en-Y reconstruction, however, is preferentially used in patients transplanted for primary sclerosing chola …
Roux-en-Y Choledochojejunostomy Shawnn Nichols Mark Bloomston DEFINITION Choledochojejunostomy involves the anastomosis of the common bile duct (CBD) to the jejunum, thereby reestablishing continuity of biliary flow (FIG 1). It may be used for repair of biliary strictures, after traumatic or iatrogenic CBD injury, or following for surgical resection for …
SURGICAL MANAGEMENT Indications include: Bypass of distal or ampullary strictures. Reconstruction after traumatic or iatrogenic injuries. Reconstruction following Choledochal cyst excision (type I, II, or III). Benign or malignant disease: biliary, ampullary, duodenal, or pancreatic head neoplasms. It can be included for palliative diversion or following …