title: Roux-en-Y hepaticojejunostomy with subcutaneous access and the use of Gianturco stents for the management of biliary tract strictures.
abstract: The need to control recurrent biliary strictures implies the practice of repeated major surgical procedures. The hepaticojejunostomy with subcutaneous jejunal access (Chen's procedure) allows the permanent option of a non-operative management of recurrent biliary tract anastomosis complications. Through the subcutaneous jejunal access, the application of a Gianturco metallic prosthesis is permitted and the correction of biliary-intestinal anastomosis strictures with non-operative methods is possible. This report is a review of a series of 20 patients treated with the Chen procedure, of whom 3 patients also had implantation of Gianturco stents via hepaticojejunostomy with subcutaneous access.
authors.affiliation: Institute of Hepatobiliary Diseases, Fundación Santa Fe, Bogota, Colombia.
authors.forename: G A
authors.initials: GA
authors.lastname: Quintero
authors.forename: H
authors.initials: H
authors.lastname: Espinosa
authors.forename: G
authors.initials: G
authors.lastname: Pineres
authors.forename: A
authors.initials: A
authors.lastname: Ariza
authors.forename: N
authors.initials: N
authors.lastname: Zundel
authors.forename: R
authors.initials: R
authors.lastname: Botero
authors.forename: H
authors.initials: H
authors.lastname: Cuervo
authors.forename: G
authors.initials: G
authors.lastname: Ucros
authors.forename: J F
authors.initials: JF
authors.lastname: Patiño
mesh_terms: D000328:Adult; D000368:Aged; D000713:Anastomosis, Roux-en-Y; D001660:Biliary Tract Diseases / Q000601:surgery*; D003251:Constriction, Pathologic; D005260:Female; D006500:Hepatic Duct, Common / Q000601:surgery*; D006801:Humans; D007582:Jejunostomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D015607:Stents