What is bilioenteric anastomosis?
The bilioenteric anastomosis has played an integral role in the surgical management of biliary tract disease during the past century. A wide variety of techniques for suturing a portion of the biliary tract to the digestive tract have been described since von Winiwarter’s first cholecystoenterostomy.
What is Hepaticojejunal anastomosis?
After resection of the common bile duct up to the level of the bifurcation, hepaticojejunostomy is established by interrupted monofilament (PDS 6-0) sutures joining the left and right hepatic duct in a common anastomosis site.
What does Choledochojejunostomy mean?
Choledochojejunostomy is a procedure for creating an anastomosis of the common bile duct (CBD) to the jejunum, performed to relieve symptoms of biliary obstruction and restore continuity to the biliary tract.
What is Roux en Y Hepaticojejunostomy?
What is hepaticojejunostomy? A hepaticojejunostomy, or Roux-en-Y procedure, bypasses the bile duct to allow digestive juices to drain from the liver directly into the small intestine. The hepatic duct is the tubular channel that carries bile from the liver to the small intestine to aid digestion.
What is removed during a cholecystectomy?
A cholecystectomy is surgery to remove your gallbladder. The gallbladder is a small organ under your liver. It is on the upper right side of your belly or abdomen. The gallbladder stores a digestive juice called bile which is made in the liver.
Why is it called Roux-en-Y?
The Roux-en-Y is named after the Swiss surgeon César Roux (1857-1934), who was Chief of Surgery at the county hospital of Lausanne and following the opening of the new University of Lausanne, in 1890, was its inaugural Professor of External Pathology and Gynecology 4.
What is a Hepaticojejunostomy procedure?
A hepaticojejunostomy is the surgical creation of a communication between the hepatic duct and the jejunum; a choledochojejunostomy is the surgical creation of a communication between the common bile duct (CBD) and the jejunum.
What is Roux-en-Y reconstruction?
In general surgery, a Roux-en-Y anastomosis, or Roux-en-Y, is an end-to-side surgical anastomosis of bowel used to reconstruct the gastrointestinal tract. Typically, it is between stomach and small bowel that is distal (or further down the gastrointestinal tract) from the cut end.
What is Roux en?
Gastric bypass, also called Roux-en-Y (roo-en-wy) gastric bypass, is a type of weight-loss surgery that involves creating a small pouch from the stomach and connecting the newly created pouch directly to the small intestine.
What is Roux-en-Y procedure?
Roux-en-Y gastric bypass (RYGB) is a type of weight-loss surgery. Weight-loss surgery is also called bariatric surgery. It’s often done as a laparoscopic surgery, with small incisions in the abdomen. This surgery reduces the size of your upper stomach to a small pouch about the size of an egg.
What kind of surgery is biliary enteric anastomosis?
Biliary-enteric anastomosis (BEA) is a common surgical procedure performed for the management of biliary obstruction or leakage that results from a variety of benign and malignant diseases. Complications following BEA are not rare.
Which is the best way to do anastomosis?
Hand-sewn anastomosis may be required in complete disruption of the stapled line. Hand-sewn colorectal anastomosis is typically performed from the abdominal field. It is often easiest to place all of the sutures first, then “parachute” the proximal bowel down to the rectal cuff as the sutures are tied.
How is the stenosis of an anastomosis dilated?
If the stenosis is believed to be of hemodynamic significance, then it must be dilated either by radiologic or surgical means. Interventional radiologic techniques can study the vessel and the stenotic area, assess the hydrostatic gradient on either side of the anastomosis, and dilate the narrow area by balloon dilatation.
Which is the most common complication of biliary leak?
The most common local complication was wound infection, followed by biliary leak, as shown in table 1. Systemic complications occurred in 20 (25%) patients. Of the eight patients with biliary leak, one underwent a re-exploration and later on expired of sepsis.
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