Laparoendoscopic approach for refractory Roux‐en‐Y hepaticojejunostomy stricture in an acute setting: A unique case and technique
Roux‐en‐Y hepaticojejunostomy stricture is a substantial problem that develops in 10%–30% of patients and requires frequent intervention. Although endoscopic/percutaneous approaches are preferred, especially for refractory stricture, open surgical reconstruction remains the gold standard. However, s...
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| Veröffentlicht in: | Asian journal of endoscopic surgery 2014-01, Vol.7 (1), p.67-70 |
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| container_title | Asian journal of endoscopic surgery |
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| creator | Pidigue, Rajan Seshiyer Chinnusamy, Palanivelu Jategaonkar, Priyadarshan Anand Ramakrishnan, Parthasarathi Subbiah, Rajapandian Palanisamy, Senthilnathan Natesan, Anand Vijai S Palanivelu, Praveen Raj |
| description | Roux‐en‐Y hepaticojejunostomy stricture is a substantial problem that develops in 10%–30% of patients and requires frequent intervention. Although endoscopic/percutaneous approaches are preferred, especially for refractory stricture, open surgical reconstruction remains the gold standard. However, such an operation may be highly challenging. The recently developed covered, self‐expanding metallic stent is a useful option for such difficult cases. We present a case of recurrent Roux‐en‐Y hepaticojejunostomy stricture complicated by densely packed intrahepatic stones and suppurative cholangitis with failed percutaneous biliary draining. Enteroscopic manipulations were unfeasible, and the case was successfully managed by the laparoendoscopic approach. If treating surgeons have the necessary expertise, this technique may be considered in such difficult scenarios. |
| doi_str_mv | 10.1111/ases.12065 |
| format | Article |
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Although endoscopic/percutaneous approaches are preferred, especially for refractory stricture, open surgical reconstruction remains the gold standard. However, such an operation may be highly challenging. The recently developed covered, self‐expanding metallic stent is a useful option for such difficult cases. We present a case of recurrent Roux‐en‐Y hepaticojejunostomy stricture complicated by densely packed intrahepatic stones and suppurative cholangitis with failed percutaneous biliary draining. Enteroscopic manipulations were unfeasible, and the case was successfully managed by the laparoendoscopic approach. If treating surgeons have the necessary expertise, this technique may be considered in such difficult scenarios.</description><identifier>ISSN: 1758-5902</identifier><identifier>EISSN: 1758-5910</identifier><identifier>DOI: 10.1111/ases.12065</identifier><identifier>PMID: 24450348</identifier><language>eng</language><publisher>Japan</publisher><subject>Anastomosis, Roux-en-Y ; Constriction, Pathologic - etiology ; Constriction, Pathologic - surgery ; Female ; Hepaticojejunostomy stricture ; hepatolithiasis ; Humans ; Jejunum - surgery ; laparoendoscopic surgery ; Laparoscopy - methods ; Liver - surgery ; Middle Aged ; Postoperative Complications - surgery ; Recurrence</subject><ispartof>Asian journal of endoscopic surgery, 2014-01, Vol.7 (1), p.67-70</ispartof><rights>2014 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and Wiley Publishing Asia Pty Ltd</rights><rights>2014 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and Wiley Publishing Asia Pty Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3535-d7b33f2840d13de9ed973f30c22cedc7af281562a0d1931378e3e8fd0006e5903</citedby><cites>FETCH-LOGICAL-c3535-d7b33f2840d13de9ed973f30c22cedc7af281562a0d1931378e3e8fd0006e5903</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fases.12065$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fases.12065$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,27907,27908,45557,45558</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24450348$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pidigue, Rajan Seshiyer</creatorcontrib><creatorcontrib>Chinnusamy, Palanivelu</creatorcontrib><creatorcontrib>Jategaonkar, Priyadarshan Anand</creatorcontrib><creatorcontrib>Ramakrishnan, Parthasarathi</creatorcontrib><creatorcontrib>Subbiah, Rajapandian</creatorcontrib><creatorcontrib>Palanisamy, Senthilnathan</creatorcontrib><creatorcontrib>Natesan, Anand Vijai S</creatorcontrib><creatorcontrib>Palanivelu, Praveen Raj</creatorcontrib><title>Laparoendoscopic approach for refractory Roux‐en‐Y hepaticojejunostomy stricture in an acute setting: A unique case and technique</title><title>Asian journal of endoscopic surgery</title><addtitle>Asian J Endosc Surg</addtitle><description>Roux‐en‐Y hepaticojejunostomy stricture is a substantial problem that develops in 10%–30% of patients and requires frequent intervention. Although endoscopic/percutaneous approaches are preferred, especially for refractory stricture, open surgical reconstruction remains the gold standard. However, such an operation may be highly challenging. The recently developed covered, self‐expanding metallic stent is a useful option for such difficult cases. We present a case of recurrent Roux‐en‐Y hepaticojejunostomy stricture complicated by densely packed intrahepatic stones and suppurative cholangitis with failed percutaneous biliary draining. Enteroscopic manipulations were unfeasible, and the case was successfully managed by the laparoendoscopic approach. If treating surgeons have the necessary expertise, this technique may be considered in such difficult scenarios.</description><subject>Anastomosis, Roux-en-Y</subject><subject>Constriction, Pathologic - etiology</subject><subject>Constriction, Pathologic - surgery</subject><subject>Female</subject><subject>Hepaticojejunostomy stricture</subject><subject>hepatolithiasis</subject><subject>Humans</subject><subject>Jejunum - surgery</subject><subject>laparoendoscopic surgery</subject><subject>Laparoscopy - methods</subject><subject>Liver - surgery</subject><subject>Middle Aged</subject><subject>Postoperative Complications - surgery</subject><subject>Recurrence</subject><issn>1758-5902</issn><issn>1758-5910</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtOAyEUhonRWK1ufADD0pi0wjBXd01TL0kTE6sLVxMKZyzNzDACE-3OjXuf0SeRdmqXEgKE8-WH8yF0RsmQ-nHFLdghDUgc7aEjmkTpIMoo2d-dSdBDx9YuCYkTGrJD1AvCMCIsTI_Q15Q33GiopbZCN0pg3jRGc7HAhTbYQGG4cNqs8KNuP34-v6H2ywteQMOdEnoJy7bW1ulqha0zSrjWAFY15n6K1gG24JyqX6_xCLe1emsBC_9hX5fYgVhsrk7QQcFLC6fbvY-ebyZP47vB9OH2fjyaDgSLWDSQyZyxIkhDIimTkIHMElYwIoJAgBQJ9zUaxQH39YxRlqTAIC0k8Z2D98D66KLL9S36Z63LK2UFlCWvQbc2p2EWxBmNssyjlx0qjLbWe8gboypuVjkl-Vp7vtaeb7R7-Hyb284rkDv0z7MHaAe8qxJW_0Tlo9lk1oX-Au7Ikcg</recordid><startdate>201401</startdate><enddate>201401</enddate><creator>Pidigue, Rajan Seshiyer</creator><creator>Chinnusamy, Palanivelu</creator><creator>Jategaonkar, Priyadarshan Anand</creator><creator>Ramakrishnan, Parthasarathi</creator><creator>Subbiah, Rajapandian</creator><creator>Palanisamy, Senthilnathan</creator><creator>Natesan, Anand Vijai S</creator><creator>Palanivelu, Praveen Raj</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201401</creationdate><title>Laparoendoscopic approach for refractory Roux‐en‐Y hepaticojejunostomy stricture in an acute setting: A unique case and technique</title><author>Pidigue, Rajan Seshiyer ; Chinnusamy, Palanivelu ; Jategaonkar, Priyadarshan Anand ; Ramakrishnan, Parthasarathi ; Subbiah, Rajapandian ; Palanisamy, Senthilnathan ; Natesan, Anand Vijai S ; Palanivelu, Praveen Raj</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3535-d7b33f2840d13de9ed973f30c22cedc7af281562a0d1931378e3e8fd0006e5903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Anastomosis, Roux-en-Y</topic><topic>Constriction, Pathologic - etiology</topic><topic>Constriction, Pathologic - surgery</topic><topic>Female</topic><topic>Hepaticojejunostomy stricture</topic><topic>hepatolithiasis</topic><topic>Humans</topic><topic>Jejunum - surgery</topic><topic>laparoendoscopic surgery</topic><topic>Laparoscopy - methods</topic><topic>Liver - surgery</topic><topic>Middle Aged</topic><topic>Postoperative Complications - surgery</topic><topic>Recurrence</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pidigue, Rajan Seshiyer</creatorcontrib><creatorcontrib>Chinnusamy, Palanivelu</creatorcontrib><creatorcontrib>Jategaonkar, Priyadarshan Anand</creatorcontrib><creatorcontrib>Ramakrishnan, Parthasarathi</creatorcontrib><creatorcontrib>Subbiah, Rajapandian</creatorcontrib><creatorcontrib>Palanisamy, Senthilnathan</creatorcontrib><creatorcontrib>Natesan, Anand Vijai S</creatorcontrib><creatorcontrib>Palanivelu, Praveen Raj</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Asian journal of endoscopic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pidigue, Rajan Seshiyer</au><au>Chinnusamy, Palanivelu</au><au>Jategaonkar, Priyadarshan Anand</au><au>Ramakrishnan, Parthasarathi</au><au>Subbiah, Rajapandian</au><au>Palanisamy, Senthilnathan</au><au>Natesan, Anand Vijai S</au><au>Palanivelu, Praveen Raj</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoendoscopic approach for refractory Roux‐en‐Y hepaticojejunostomy stricture in an acute setting: A unique case and technique</atitle><jtitle>Asian journal of endoscopic surgery</jtitle><addtitle>Asian J Endosc Surg</addtitle><date>2014-01</date><risdate>2014</risdate><volume>7</volume><issue>1</issue><spage>67</spage><epage>70</epage><pages>67-70</pages><issn>1758-5902</issn><eissn>1758-5910</eissn><abstract>Roux‐en‐Y hepaticojejunostomy stricture is a substantial problem that develops in 10%–30% of patients and requires frequent intervention. Although endoscopic/percutaneous approaches are preferred, especially for refractory stricture, open surgical reconstruction remains the gold standard. However, such an operation may be highly challenging. The recently developed covered, self‐expanding metallic stent is a useful option for such difficult cases. We present a case of recurrent Roux‐en‐Y hepaticojejunostomy stricture complicated by densely packed intrahepatic stones and suppurative cholangitis with failed percutaneous biliary draining. Enteroscopic manipulations were unfeasible, and the case was successfully managed by the laparoendoscopic approach. If treating surgeons have the necessary expertise, this technique may be considered in such difficult scenarios.</abstract><cop>Japan</cop><pmid>24450348</pmid><doi>10.1111/ases.12065</doi><tpages>4</tpages></addata></record> |
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| subjects | Anastomosis, Roux-en-Y Constriction, Pathologic - etiology Constriction, Pathologic - surgery Female Hepaticojejunostomy stricture hepatolithiasis Humans Jejunum - surgery laparoendoscopic surgery Laparoscopy - methods Liver - surgery Middle Aged Postoperative Complications - surgery Recurrence |
| title | Laparoendoscopic approach for refractory Roux‐en‐Y hepaticojejunostomy stricture in an acute setting: A unique case and technique |
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