What is a Hepaticojejunostomy?
A hepaticojejunostomy is the surgical creation of a communication between the hepatic duct and the jejunum; a choledochojejunostomy is the surgical creation of a communication between the common bile duct (CBD) and the jejunum. Oskar Sprengel published the first report of a choledochoenterostomy in 1891.
What is Strasberg classification?
Strasberg classification: Type A – Injury to the cystic duct or from minor hepatic ducts draining the liver bed. Type B – Occlusion of biliary tree, commonly aberrant right hepatic duct(s). Type C – Transection without ligation of aberrant right hepatic duct(s). Type D – Lateral injury to a major bile duct.
What is bismuth classification?
The Bismuth classification is a simple classification based on the location of the injury in the biliary tract. This classification is very helpful in prognosis after repair.
What is Roux-en-Y Hepaticojejunostomy?
A hepaticojejunostomy is a surgical procedure to make a connection (anastomosis) between the hepatic duct and the jejunum, which is the middle portion of the small intestine. This technique is called the Roux-en-Y hepaticojejunostomy.
What is a Choledochojejunostomy?
Choledochojejunostomy is a procedure for creating an anastomosis of the common bile duct (CBD) to the jejunum, performed to relieve symptoms of biliary obstruction and restore continuity to the biliary tract.
What is the role of Jejunojejunostomy?
Jejunojejunostomy is a surgical technique used in an anastomosis between two portions of the jejunum. It is a type of bypass occurring in the intestine. It may lead to marked reduction in the functional volume of the intestine. This technique is also performed using Laparoscopic surgery.
What is sectoral duct?
Bile canaliculi unite to form segmental bile ducts which drain each liver segment. The segmental ducts then combine to form sectoral ducts with the following pattern 5: segments 6 and 7: right posterior sectoral duct (RPSD), coursing more horizontally.
How do you treat a bile duct injury?
These injuries can typically be repaired primarily with sutures and placement of abdominal drains in the area . Conversely, major BDIs (i.e., Strasberg E) are associated with tissue loss (e.g., the common bile duct is clipped and transected) and require complex reconstruction with a Roux-en-Y hepaticojejunostomy.
What is Roux-en-Y reconstruction?
In general surgery, a Roux-en-Y anastomosis, or Roux-en-Y, is an end-to-side surgical anastomosis of bowel used to reconstruct the gastrointestinal tract. Typically, it is between stomach and small bowel that is distal (or further down the gastrointestinal tract) from the cut end.
What is an Enteroenterostomy?
Enteroenterostomy is an anastomosis between one part of the small bowel and another part of the small bowel (jejunum or ileum). It is used to restore bowel continuity after resection of a segment of the bowel or after creation of a Roux-en-Y loop of jejunum or as a part of a Braun loop of jejunum.
What is the CPT code for Jejunojejunostomy?
The open procedure is 44120, per CPT.
What is a Braun Enteroenterostomy?
Braun enterostomy is a type of anastomosis done following a major surgery like pancreaticoduodenectomy (removal of pancreas and a part of the intestine). Enteroenterostomy is an anastomosis (connection) between one part of the small bowel to another (jejunum or ileum).
What causes enlarged bile duct and how to treat it?
gallstones,which are the most common cause
What should be done with a dilated bile duct?
Surgical removal of the bile duct—The surgeon removes the entire organ.
How do you repair a bile duct?
Write down any symptoms you’ve been experiencing and for how long.
What is common bile duct injury?
Common bile duct injuries occur most frequently during performance of a laparoscopic cholecystectomy. The injury typically occurs when the surgeon misidentifys the common bile duct for the cystic duct during the dissection phase of the operation. The injury occurs in less than one percent of cholecystectomies.