Roux-en-Y hepaticojejunostomy or hepaticoduodenostomy for biliary reconstruction during the surgical treatment of choledochal cyst: which is better?

Pediatric Surgery International
Akihiro ShimotakaharaT Miyano

Abstract

We reviewed our experience of Roux-en-Y hepaticojejunostomy (RYHJ) and hepaticoduodenostomy (HD) performed for the surgical repair of choledochal cyst (CC), with special emphasis on postoperative complications related to the type of biliary reconstruction performed. Eighty-six patients underwent primary cyst excision for CC from 1986 to 2002 at our institution. Forty-six cases with concurrent intrahepatic bile duct dilatation (IHBD) were excluded because HD was not used for biliary reconstruction if IHBD was present. Thus, 28 cases had RYHJ, and 12 had HD. Differences between the RYHJ and HD groups with respect to type of CC, age at cyst excision, and length of follow-up were not statistically significant. However, the incidences of postoperative complications related to biliary reconstruction, such as endoscopy-proven bilious gastritis due to duodenogastric bile reflux [4/12 (33.3%) of the HD group], and adhesive bowel obstruction/cholangitis [2/28 (7.1%) of the RYHJ group] were significantly different (p<.05). Our experience suggests that HD is not ideal for biliary reconstruction in CC because of a high incidence (33.3%) of complications due to duodenogastric bile reflux. Currently, RYHJ is our exclusive technique of choice ...Continue Reading

References

Sep 1, 1979·Cancer·J Klarfeld, G Resnick
May 1, 1991·American Journal of Surgery·R R LopezR M Katon
Feb 1, 1988·Annals of Surgery·T TodaniY Sato
Aug 1, 1971·American Journal of Surgery·M S McArthur, W P Longmire
Nov 1, 1981·American Journal of Surgery·T TodaniA Toki
Mar 1, 1995·Journal of Pediatric Surgery·T TodaniY Morotomi
May 1, 1994·American Journal of Surgery·C H ScudamoreA F Watkinson
Jan 1, 1997·Pediatric Surgery International·T TodaniY Furuta
Dec 13, 1997·Journal of Pediatric Surgery·H SaingP K Tam
Oct 14, 2004·Pediatric Surgery International·K TakadaY Kamiyama

❮ Previous
Next ❯

Citations

Nov 13, 2008·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Nguyen Thanh LiemTran Ngoc Son
Mar 30, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Matthew T SantoreAlan W Flake
Jun 15, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Eun Young ChangSeok Joo Han
Nov 3, 2006·Journal of the American Veterinary Medical Association·Pierre M AmsellemEric Monnet
Sep 25, 2012·World Journal of Gastroenterology : WJG·Beata Jabłońska
Jul 7, 2011·Journal of Indian Association of Pediatric Surgeons·Biswanath MukhopadhyayKalyani Saha Basu
Jul 25, 2012·Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association·Mahendra S BhavsarVenugopal H Giriyappa
Dec 3, 2014·Journal of the American College of Surgeons·Kevin C SoaresTimothy M Pawlik
Jun 23, 2012·Journal of Gastroenterology·Terumi KamisawaUNKNOWN Japanese Study Group on Pancreaticobiliary Maljunction
Jan 13, 2011·Current Gastroenterology Reports·Matthew Goldman, Thomas Pranikoff
Nov 6, 2007·Indian Journal of Pediatrics·Atul MishraS Roy Choudhury
Aug 10, 2006·Pediatric Surgery International·C H HoubenC K Yeung
Feb 2, 2013·Pediatric Surgery International·Mei DiaoWei Cheng
Mar 17, 2006·Current Treatment Options in Gastroenterology·Pamela A Lipsett, Jayme E Locke
Dec 15, 2010·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·C HeidenhainU P Neumann
Nov 28, 2012·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·H GoessmannA A Schnitzbauer
Oct 16, 2015·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·R WengQ Luo
Jan 18, 2011·Journal of Pediatric Surgery·Matthew T SantoreAlan W Flake
Mar 13, 2010·Journal of Pediatric Surgery·Liem Nguyen ThanhTran N Son
Jun 13, 2015·World Journal of Surgery·Palanisamy SenthilnathanChinnusamy Palanivelu
Jan 11, 2011·Pediatric Transplantation·Jeffrey CampsenFrederick M Karrer
Nov 15, 2011·Journal of Hepato-biliary-pancreatic Sciences·Satoshi HiranoKentaro Kato
Aug 11, 2015·Gastroenterology Research and Practice·Norman Oneil MachadoShahzad Younas
Apr 22, 2015·Pediatric Surgery International·Huo-Jian ShenFu Ji
Nov 12, 2013·Journal of Pediatric Surgery·Sarath Kumar NarayananRalph Clinton Cohen
Jan 24, 2017·Journal of Hepato-biliary-pancreatic Sciences·Hiroki IshibashiUNKNOWN Japanese Study Group on Congenital Biliary Dilatation (JSCBD)
Jan 18, 2020·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Ayako OnoKaori Togashi
Mar 28, 2020·Clinics·Ana Cristina Aoun TannuriUenis Tannuri
Mar 26, 2009·Annals of the Royal College of Surgeons of England·Natalie Dabbas, Mark Davenport
Apr 2, 2017·Pediatric Surgery International·Kevin C SoaresTimothy M Pawlik
Nov 9, 2018·Pediatric Surgery International·Florian FriedmacherMark Davenport
Apr 21, 2017·Pediatric Surgery International·Mark D Stringer
Dec 1, 2019·Surgical Case Reports·Masaki NioYudai Nakajima
Sep 18, 2020·Journal of Indian Association of Pediatric Surgeons·Somak Krishna BiswasJay Kishor Soren
Dec 16, 2018·Journal of Gastroenterology and Hepatology·Gudrun AspelundUNKNOWN American Academy of Pediatrics Section on Surgery's Delivery of Surgical Care Committee
Dec 29, 2020·Expert Review of Gastroenterology & Hepatology·Jiacheng WuYongsheng Yang
Dec 12, 2020·Annals of Surgical Treatment and Research·Chi Young ParkKwang Hyun Ko
Sep 18, 2020·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·A Marthe SchreuderThomas M van Gulik
Jun 12, 2021·Pediatric Surgery International·David Eugenio Hinojosa-GonzalezEduardo Flores-Villalba

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrophic Gastritis

Atrophic Gastritis is a process where gastric glandular cells are lost and replaced with firbous tissues, as a result of chronic inflammation. Learn more about Atrophic Gastritis here.

Related Papers

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Nguyen Thanh LiemHoan Manh Vu
Journal of Indian Association of Pediatric Surgeons
Biswanath MukhopadhyayKalyani Saha Basu
© 2021 Meta ULC. All rights reserved