What is the CPT code for Roux-en-Y Hepaticojejunostomy?
The search included patients with an ICD-9 code for bile duct injury (567.81, 576.0, 576.3, 576.4, 868.02, 998.2) followed by a Current Procedural Terminology (CPT) code for hepaticojejunostomy (47760, 47765, 47780, 47785).
Is the common bile duct intrahepatic or extrahepatic?
Extrahepatic bile ducts The extrahepatic ducts include the part of the right and left hepatic ducts that are outside the liver, the common hepatic duct and the common bile duct. (The cystic duct is also outside the liver, but cancers of the cystic duct are grouped with gallbladder cancers.)
What is Hepaticojejunostomy anastomotic stricture?
Introduction. Benign anastomotic stricture after hepaticojejunostomy (HJ) is one of the serious complications of biliary surgery, which often presents with management difficulties. If left untreated, jaundice, cholangitis, or cirrhosis may develop.
Is the Hepaticojejunostomy a common surgical procedure?
Hepaticoj ejunostomy: Indications and Surgical Technique Juan M. Sarmiento, MD A lthough hepaticojejunostomy (HJ) is a common procedure for most hepatobiliary surgeons, this time-honored and durable procedure is relatively rare in the day-to-day general surgical practice.
How is a roux en Y hepaticojejunostomy performed?
Roux-en-Y hepaticojejunostomy technique is a commonly performed during biliary reconstruction. The roux limb will be created by dividing the jejunum about 15-20 cm downstream from the Ligament of Trietz. A distance of 40 cm will be measured distal to the efferent cut end and the afferent limb will be anastomosed at this point.
Where does the bile go after a 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.
Which is the best hepaticojejunostomy for iatrogenic bile duct injury?
Roux-en-Y hepaticojejunostomy (RYHJ) is currently considered as the definitive treatment for iatrogenic bile duct injuries [1].