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Management of Injury to the Common Bile Duct in a Patient with Roux-en-Y Gastric Bypass
Joint Authors
Yaqub, Sheraz
Mala, Tom
Berntzen, Dag Tallak Kjærsdalen
Abildgaard, Andreas
Edwin, Bjørn
Labori, Knut Jørgen
Mathisen, Øystein
Fosby, Bjarte
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-08-05
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
Most surgeons prefer Roux-en-Y hepaticojejunostomy (RYHJ) for biliary reconstruction following a common bile duct (CBD) injury.
However, in patients with a Roux-en-Y gastric bypass (RYGB) a RYHJ may be technically challenging and can interfere with bowel physiology induced by RYGB.
The use of a hepaticoduodenostomy (HD) resolves both these issues.
Presentation of Case.
We present a case of CBD injury during laparoscopic cholecystectomy one year after laparoscopic RYGB for morbid obesity.
Due to adhesions and previous surgery with RYGB, we did not want to interfere with the RYGB physiology by anastomosing the CBD to the jejunum or ileum.
Succeeding a full Kocher’s maneuver we performed biliary reconstruction by a tension-free end-to-side HD.
The postoperative recovery was uneventful and the patient was discharged after eight days.
At four-month follow-up, the patient had stable weight and normal laboratory test results.
MRCP demonstrated normal intra- and extrahepatic bile ducts with status after HD.
Discussion.
We propose that HD should be considered in treatment of CBD injury in post-RYGB patients as it may reduce the risk of interfering with the post-RYGB physiology.
American Psychological Association (APA)
Yaqub, Sheraz& Mala, Tom& Mathisen, Øystein& Edwin, Bjørn& Fosby, Bjarte& Berntzen, Dag Tallak Kjærsdalen…[et al.]. 2014. Management of Injury to the Common Bile Duct in a Patient with Roux-en-Y Gastric Bypass. Case Reports in Surgery،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-509769
Modern Language Association (MLA)
Yaqub, Sheraz…[et al.]. Management of Injury to the Common Bile Duct in a Patient with Roux-en-Y Gastric Bypass. Case Reports in Surgery No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-509769
American Medical Association (AMA)
Yaqub, Sheraz& Mala, Tom& Mathisen, Øystein& Edwin, Bjørn& Fosby, Bjarte& Berntzen, Dag Tallak Kjærsdalen…[et al.]. Management of Injury to the Common Bile Duct in a Patient with Roux-en-Y Gastric Bypass. Case Reports in Surgery. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-509769
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-509769