• Diagrammatically, the Roux-en-Y anastomosis looks a little like the letter Y.[citation needed] Typically, the two upper limbs of the Y represent (1) the proximal segment of stomach and the distal small bowel it joins with and (2) the blind end that is surgically divided off, and the lower part of the Y is formed by the distal small bowel beyond the anastomosis. (wikipedia.org)
  • When describing the surgery, the Roux limb is the efferent or antegrade limb that serves as the primary recipient of food after the surgery, while the hepatobiliary or afferent limb that anastomoses with the biliary system serves as the recipient for biliary secretions, which then travel through the excluded small bowel to the distal anastomosis at the mid jejunum to aid digestion. (wikipedia.org)
  • Other possible causes of biliary tract obstruction that may lead to infection include strictures, tumors, choledochal/biliary cysts, or sump syndrome. (medscape.com)
  • Roux-en-Y Hepatico-jejunostomy is the standard technique of biliary reconstruction after excision of choledochal cyst. (scirp.org)
  • A. Shimotakahara, A. Yamataka, T. Yanai, H. Kobayashi, T. Okazaki, G. J. Lane and T. Miyano, "Roux-en-Y Hepa tico-Jejunostomy for Biliary Reconstruction during the Surgical Treatment of Choledochal Cyst: Which Is Better? (scirp.org)
  • however, patients with severe or toxic cholangitis may not respond and may require emergency biliary drainage. (medscape.com)
  • The prognosis is usually guarded, although it improves with early antibiotic treatment and appropriate drainage and decompression of biliary tract as needed. (medscape.com)
  • S. Hoque, "A New Surgical Technique of Biliary Drainage," International Journal of Clinical Medicine , Vol. 4 No. 9, 2013, pp. 400-404. (scirp.org)
  • Cholangitis in patients with a biliary-enteric anastomosis (eg, hepatico-jejunostomy or a bilio-biliary anastomosis) after liver transplant indicates anastomotic stricture. (medscape.com)
  • Historically, choledocholithiasis was the most common cause of biliary tract obstruction resulting in cholangitis. (medscape.com)
  • Hepatobiliary malignancies are a less common cause of biliary tract obstruction and subsequent bile contamination resulting in cholangitis. (medscape.com)
  • Factors reportedly associated with a poor prognosis include old age, female sex, acute renal failure, preexisting cirrhosis, and malignant biliary obstruction. (medscape.com)
  • Roux-en-Y hepatico jejuno stomy used to treat (macroscopic) bile duct obstruction which may arise due to: a common bile duct tumour or hepatic duct tumour (e.g. resection of cholangiocarcinoma) a bile duct injury (e.g. cholecystectomy, iatrogenic, trauma) an infection/inflammation (e.g. pancreatic pseudocyst) Roux-en-Y choledochojejunostomy - indications same as Roux-en-Y hepaticojejunostomy. (wikipedia.org)
  • Roux-en-Y reconstruction following partial or complete gastrectomy for stomach cancer. (wikipedia.org)
  • Roux-en-Y pancreas transplant Roux-en-Y pancreas reconstruction after blunt abdominal trauma. (wikipedia.org)
  • Here the author describes a new surgical technique of biliary reconstruction using native gall bladder as biliary conduit. (scirp.org)
  • N. Akamatsu, Y. Sugawara and D. Hashimoto, "Biliary Reconstruction, Its Complications and Management of Biliary Complications after Adult Liver Transplantation: A Systematic Review of the Incidence, Risk Factors and Outcome," Transplant International, Vol. 24, No. 4, 2011, pp. 379-392. (scirp.org)
  • The two main causes of cholangitis are common bile duct stones and biliary tract manipulation. (medscape.com)
  • 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. (wikipedia.org)
  • Benefits of the new surgical technique are total absence of Roux-en-Y related intestinal complications. (scirp.org)
  • Longstanding recurrent cholangitis can cause secondary biliary cirrhosis (SBC), portal hypertension, and liver failure. (medscape.com)
  • The mortality rate of acute cholangitis ranges from 5-10%, with a higher mortality rate in patients who require emergency biliary decompression or surgery. (medscape.com)
  • Cholangitis in patients with a biliary-enteric anastomosis (eg, hepatico-jejunostomy or a bilio-biliary anastomosis) after liver transplant indicates anastomotic stricture. (medscape.com)
  • Over the past 20 years, biliary tract manipulations/interventions and stents have reportedly become more common causes of cholangitis. (medscape.com)
  • When describing the surgery, the Roux limb is the efferent or antegrade limb that serves as the primary recipient of food after the surgery, while the hepatobiliary or afferent limb that anastomoses with the biliary system serves as the recipient for biliary secretions, which then travel through the excluded small bowel to the distal anastomosis at the mid jejunum to aid digestion. (wikipedia.org)
  • The two main causes of cholangitis are common bile duct stones and biliary tract manipulation. (medscape.com)
  • Risk factors and treatment strategy for clinical hepatico-jejunostomy stenosis defined with intrahepatic bile duct dilatation after pancreaticoduodenectomy: A retrospective study. (bvsalud.org)
  • The purpose of this study was to identify risk factors and establish a treatment strategy for clinical hepatico- jejunostomy stenosis defined with intrahepatic bile duct dilatation after pancreaticoduodenectomy . (bvsalud.org)
  • Longstanding recurrent cholangitis can cause secondary biliary cirrhosis (SBC), portal hypertension, and liver failure. (medscape.com)