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Surgical Biliary Tract Reconstruction

Restoration of bile flow with hepaticojejunostomy and other techniques.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Surgical Biliary Tract Reconstruction?

Indications for biliary reconstruction include iatrogenic bile-duct injury, choledochal cysts, malignancy (cholangiocarcinoma, pancreatic cancer), chronic stricture and primary sclerosing cholangitis.

The most common technique is Roux-en-Y hepaticojejunostomy. Choledochojejunostomy, choledochoduodenostomy and intrahepatic bile-duct anastomoses are used in selected cases.

Preoperative imaging includes MRCP, ERCP and CT. Postoperative complications are anastomotic leak, stricture, cholangitis and stone formation; long-term follow-up is required.

Symptoms

Jaundice
Right upper quadrant pain
Fever
Itching
Dark urine
Pale stool
Weight loss

Risk Factors

Recent biliary surgery
Choledochal cyst
Bile-duct cancer
Chronic pancreatitis
Primary sclerosing cholangitis
Recurrent gallstones
Liver transplant history

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • New jaundice
  • Fever and right upper quadrant pain
  • Cholangitis-like attack
  • Persistent itching
  • Dark urine and pale stool

Treatment Methods

01
Roux-en-Y hepaticojejunostomy
02
Choledochojejunostomy
03
Choledochoduodenostomy
04
Intrahepatic anastomosis
05
Endoscopic stent and percutaneous drainage
06
Postoperative antibiotic therapy and follow-up

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Genel Cerrahi Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.