title: Therapeutic transjejunal endoscopy for the treatment of biliary complications after choledochojejunostomy.
abstract: The present study aimed to assess the value of endoscopic jejunostomy for post-biliary intestinal anastomosis biliary complications. The clinical data of the endoscopic therapies by jejunal approach for post-biliary intestinal anastomosis biliary complications in 13 patients (16 surgeries in total) were retrospectively analyzed. The surgical success rate was 100% (16/16). Nasobiliary tube detention was performed for 2 patients, plastic stent placement for 5 and biliary metal stent placement for 4. The remaining two patients did not retain any drainage tube or bracket after surgery. The incidence rate of intraoperative anastomotic stenostomia was 76.9% (10/13). A noticeable postoperative decrease in bilirubin levels was observed in 10 patients. The level of gallstone-free patients was 75% (3/4). There were 10 cases in which cholangitis remission or no attack was identified. Post-operative incisional infection occurred in 3 patients, hepatophyma in 1 and an intestinal fistula in 1. Endoscopic therapy by jejunal approach for post-biliary intestinal anastomosis biliary complications has the virtue of being safe, effective and minimally invasive. It has extensive potential applications in clinical practice.
authors: Department of General Surgery, Changhai Hospital, The Second Military Medical University, Shanghai 200433;
authors: Guo-Ping
authors: GP
authors: Liu
authors: Wen-Xi
authors: WX
authors: Zhu
authors: Guang-Ming
authors: GM
authors: Cheng
authors: Shu-Ren
authors: SR
authors: Ma
keywords: biliary intestinal anastomosis; endoscope; jejunostomy; jejunum
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