Utilization of a Modified Roux-en-Y Anastomosis as an Access point for Percutaneous Transjejunal Cholangioplasty of Recurrent Biliary Strictures
| Autor: | Jason Salsamendi, Prasoon P. Mohan, Robert B. Abrahams, Jagteshwar Sandhu, Shree Venkat, Adam Swersky, Danny Sleeman |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Percutaneous Adolescent Bile Duct Diseases Constriction Pathologic Anastomosis Balloon 030218 nuclear medicine & medical imaging Cohort Studies 03 medical and health sciences Young Adult 0302 clinical medicine Recurrence medicine Humans Radiology Nuclear Medicine and imaging Aged Retrospective Studies Aged 80 and over medicine.diagnostic_test business.industry Retrospective cohort study Anastomosis Roux-en-Y Middle Aged medicine.disease Roux-en-Y anastomosis Surgery Stenosis Female Bile Ducts Pouch Cardiology and Cardiovascular Medicine Liver function tests business Cholangiography |
| Zdroj: | Cardiovascular and interventional radiology. 42(12) |
| ISSN: | 1432-086X |
| Popis: | Biliary duct injuries pose a significant management challenge due to the propensity for recurrent biliary strictures. Development of a modified Roux-en-Y hepaticojejunostomy known as a Hutson–Russell Pouch (HRP) provides a point of entry for repetitive access to the biliary tree. We aim to highlight the effectiveness of using the HRP as an access point for the long-term management of anastomotic and distal biliary strictures, thereby showcasing the value in potential widespread adoption of this modification to a standard surgical procedure. IRB-approved retrospective study of 36 patients (10 M, 26 F; mean age 55.19 ± 13.94; 15–83) underwent a total of 110 transjejunal cholangiograms. Indications for cholangiogram included cholangitis (n = 38), surveillance (n = 36), and elevated liver enzymes (n = 36). Technical success was defined by the ability to access and intervene in the biliary tree via HRP access. In case of stenosis, the ability to successfully dilate ( |
| Databáze: | OpenAIRE |
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