The management of biliary disorders in patients with Roux-en-Y hepaticojejunostomy anastomosis is challenging and remains controversial. Our aim is to share our experiences of endoscopic treatment via a permanent access loop in 5 patients. Endoscopic treatment via a permanent access loop is an invaluable procedure for the management of stenotic hepaticojejunostomy anastomosis, anastomotic leakage, and hepatolithiasis. It may even be life-saving for some patients.
References
-
1
Feitoza A B, Baron T H.
Endoscopy and ERCP in the setting of previous upper GI tract surgery. Part I: Reconstruction without alteration of pancreaticobiliary anatomy.
Gastrointest Endosc.
2001;
54
743-749
-
2
Feitoza A B, Baron T H.
Endoscopy and ERCP in the setting of previous upper GI tract surgery. Part II: Postsurgical anatomy with alteration of the pancreaticobiliary tree.
Gastrointest Endosc.
2002;
55
75-79
-
3
Stewart L, Way L W.
Bile duct injuries during laparoscopic cholecystectomy. Factors that influence the results of treatment.
Arch Surg.
1995;
130
1123-1129
-
4
Davids P H, Tanka A K, Rauws E A et al.
Benign biliary strictures. Surgery or endoscopy?.
Ann Surg.
1993;
217
237-243
-
5
Way L W, Bernhoft R A, Thomas M J.
Biliary strictures.
Surg Clin North Am.
1981;
61
963-972
-
6
Tocchi A, Costa G, Lepre L et al.
The long-term outcome of hepaticojejunostomy in the treatment of benign bile duct strictures.
Ann Surg.
1996;
224
162-167
-
7
Chaudhary A, Chandra A, Negi S S et al.
Reoperative surgery for postcholecystectomy bile duct injuries.
Dig Surg.
2002;
19
22-27
-
8
Pelligrini C A, Thomas M J, Way L W.
Recurrent biliary stricture. Patterns of recurrence and outcome of surgical therapy.
Am J Surg.
1984;
147
175-180
-
9
Pitt H A, Miyamoto T, Parapatis S T et al.
Factors influencing outcome in patients with postoperative biliary strictures.
Am J Surg.
1982;
144
14-21
-
10
Kim J H, Lee S K, Kim M H et al.
Percutaneous transhepatic cholangioscopic treatment of patients with benign bilio-enteric anastomotic strictures.
Gastrointest Endosc.
2003;
58
733-738
-
11
Vos P M, van Beek E J, Smits N J et al.
Percutaneous balloon dilatation for benign hepaticojejunostomy strictures.
Abdom Imaging.
2000;
25
134-138
-
12
Aabakken L, Bretthauer M, Line P D.
Double-balloon enteroscopy for endoscpic retrograde cholangiography in patients with Roux-en-Y anastomosis.
Endoscopy.
2007;
39
1068-1071
-
13
Emmett D S, Mallat D.
Double-balloon ERCP in patients who have undergone Roux-en-Y surgery: a case series.
Gastrointest Endosc.
2007;
66
1038-1041
-
14
Parlak E, Ciçek B, Dişibeyaz S et al.
Endoscopic retrograde cholangiography by double balloon enteroscopy in patients with Roux-en-Y hepaticojejunostomy.
Surg Endosc.
2010;
24
466-470
-
15
Al-Ghnaniem R, Benjamin I S.
Long-term outcome of hepaticojejunostomy with routine access loop formation following iatrogenic bile duct injury.
Br J Surg.
2002;
89
1118-1124
-
16
Fan S T, Mok F, Zheng S S et al.
Appraisal of hepaticocutaneous jejunostomy in the management of hepatolithiasis.
Am J Surg.
1993;
165
332-335
-
17
Saing H, Chan K L, Mya G H et al.
Cutaneous stoma in the Roux limb of hepaticojejunostomy (hepaticocutaneous jejunostomy): useful access for intrahepatic stone extraction.
J Pediatr Surg.
1996;
31
247-250
-
18
Barker E M, Winkler M.
Permanent-access hepaticojejunostomy.
Br J Surg.
1984;
71
188-191
-
19
Chao Z N, Tian F Z, Gao B Y et al.
Diagnosis and management of intrahepatic retained stones through a subcutaneously placed afferent loop of Roux-en-Y choledochojejunostomy.
Chin Med J (Engl).
1987;
100
523-526
E. Oztas
Ankara Yuksek İhtisas Eğitim ve Araştırma Hastanesi Gastroenteroloji Servisi
Kızılay SK No:4 Sıhhiye Altındağ
Ankara 06100
Turkey
Fax: +90-312-3124120
eMail: erkinous@yahoo.com