Retrograde endosonography-guided hepaticojejunostomy after failed rendezvous in a patient with Roux-en-Y anastomosis

Robot-assisted Complete Excision of Choledochal Cyst with Hepaticojejunostomy and Roux-en-Y Anastomosis

Endoscopic ultrasound-guided jejunogastrostomy to perform endoscopic cholangiography in a patient with a modified Roux-en-Y hepaticojejunostomy.

to perform endoscopic cholangiography in a patient with a modified Roux-en-Y hepaticojejunostomy A 43-year-oldwoman had been diagnosed with intrahepatic duct stones and referred in 2007 for cholecystectomy andmodified Roux-en-Y hepaticojejunostomy. A jejunal loop had been fixed to the anterior wall of the stomach for future endoscopic access, if necessary (●" Fig.1). The patient had remained as...

A CARE-compliant article: a case of retrograde intussusception with Uncut-Roux-en-Y anastomosis after radical total gastrectomy

RATIONALE Postoperative intussusception is an unusual clinical entity and is rarely encountered as a complication following gastrectomy, especially radical total gastrectomy. PATIENT CONCERNS A 74-year-old woman was admitted to our hospital with complaints of melena and hematemesis. And the endoscopic biopsy confirmed the poorly differentiated adenocarcinoma of the stomach. Radical total gast...

Hepaticojejunostomy using short-limb Roux-en-Y reconstruction.

IMPORTANCE When performing biliary reconstruction, one of the long-standing tenets of surgery is that Roux-en-Y (RY) reconstruction should use a long hepatic limb to decrease the risk for postoperative cholangitis. However, this practice is not well supported and may also make postoperative biliary endoscopy difficult. While some authors recommend Roux limbs of up to 75 cm, we have routinely us...

Laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy.

Congenital choledochal cysts are rare in adults. Due to the risk of developing cholangiocarcinoma, the current standard of care is complete excision of the cyst and reconstruction with hepaticojejunostomy. So far, more than 200 laparoscopic resections have been reported in adults, the majority being from Far Eastern countries over the last five years. Herein, the technique of laparoscopic type ...