Long term results of Roux-en-Y hepaticojejunostomy.
One hundred and twenty-three patients with benign diseases involving the bile ducts, curable by biliary bypass, underwent a Roux-en-Y hepaticojejunostomy, and the long term results of this operation were evaluated to ascertain if hepaticojejunostomy is a safe and durable procedure. There were no operative deaths. A peptic ulcer developed postoperatively in two patients. Only one instance of anastomotic stenosis was observed at follow-up study, averaging 5.5 years. Six of the 11 patients with postoperative biliary symptoms had intrahepatic lithiasis, a possible indication that the symptoms were due to temporary obstruction of the anastomosis by residual stones. A refined operative technique has improved the results which over-all are highly satisfactory.
D000328:Adult; D000368:Aged; D001660:Biliary Tract Diseases / Q000601:surgery*; D002761:Cholangitis / Q000209:etiology; D002769:Cholelithiasis / Q000601:surgery; D003135:Common Bile Duct / Q000601:surgery; D003251:Constriction, Pathologic / Q000601:surgery; D003560:Cysts / Q000151:congenital / Q000601:surgery; D004381:Duodenal Ulcer / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006500:Hepatic Duct, Common / Q000601:surgery*; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008297:Male; D008722:Methods; D008875:Middle Aged; D010195:Pancreatitis / Q000209:etiology; D011183:Postoperative Complications / Q000453:epidemiology / Q000601:surgery; D013997:Time Factors