Laparoscopic-assisted transjejunal endoscopic management of intrahepatic calculi and anastomotic stricture in a patient with Roux-en-Y hepaticojejunostomy

被引：2
|
作者：
Khiangte, Elbert [1 ]
Chetri, Kamal [2 ]
Khiangte, IheuleNewme [3 ]
Deka, KarabiPatowary [4 ]
Phukan, Partha [1 ]
Agarwala, Mukesh [2 ]
机构：
[1] Apollo Hosp, Dept Gen & Minimal Access Surg, Gauhati, Assam, India
[2] Apollo Hosp, Dept Gastroenterol, Gauhati, Assam, India
[3] Apollo Hosp, Dept Obstet & Gynaecol, Gauhati, Assam, India
[4] Apollo Hosp, Dept Anaesthesia, Gauhati, Assam, India
来源：
JOURNAL OF MINIMAL ACCESS SURGERY | 2021年 / 17卷 / 02期
关键词：
Choledocholithiasis; hepatic cholelithiasis; hepatic duct stricture; jejunostomy; laparoscopic assisted; Roux-En-Y hepaticojejunostomy; stricture; transjejunal;
D O I：
10.4103/jmas.JMAS_79_20
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Management of complications in patients with Roux-en-Y reconstruction is still today an important surgical and endoscopic challenge. Various techniques have been employed to manage biliary strictures and intrahepatic calculi in patients with Roux-en-Y hepaticojejunostomy (RYHJ). We report the case of a 24-year-old female who had undergone RYHJ reconstruction 3 years back for choledochal cyst, admitted with the diagnosis of obstructive jaundice due to anastomotic stricture and multiple hepatic duct calculi. She was successfully treated with laparoscopic-assisted transjejunal endoscopic management of intrahepatic calculi and anastomotic stricture, which appears to be safe and useful procedure for anastomotic stricture and hepatic duct calculi in patients with surgically altered anatomy.
引用
收藏
页码：253 / 255
页数：3
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