Roux-en-Y hepaticojejunostomy with subcutaneous access and the use of Gianturco stents for the management of biliary tract strictures

World J Surg. 1992 Nov-Dec;16(6):1178-81; discussion 1181-2. doi: 10.1007/BF02067095.

Abstract

The need to control recurrent biliary strictures implies the practice of repeated major surgical procedures. The hepaticojejunostomy with subcutaneous jejunal access (Chen's procedure) allows the permanent option of a non-operative management of recurrent biliary tract anastomosis complications. Through the subcutaneous jejunal access, the application of a Gianturco metallic prosthesis is permitted and the correction of biliary-intestinal anastomosis strictures with non-operative methods is possible. This report is a review of a series of 20 patients treated with the Chen procedure, of whom 3 patients also had implantation of Gianturco stents via hepaticojejunostomy with subcutaneous access.

MeSH terms

  • Adult
  • Aged
  • Anastomosis, Roux-en-Y
  • Biliary Tract Diseases / surgery*
  • Constriction, Pathologic
  • Female
  • Hepatic Duct, Common / surgery*
  • Humans
  • Jejunostomy / methods*
  • Male
  • Middle Aged
  • Recurrence
  • Stents*