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Gastric Access Loop Roux-En-Y Hepaticojejunostomy in the Management of Hepatolithiasis

Year: 2026

Type: article

Abstract: Traditional management strategies for hepatolithiasis (HL) include endoscopy, percutaneous approach, and surgery. The surgery is challenging because of the recurrent stone and postoperative biliary stricture. A modified version of the Roux-en-Y hepaticojejunostomy, the gastric access loop Roux-en-Y hepaticojejunostomy has only just been developed for the treatment of HL. This technique allows postoperative endoscopic access to the biliary tree; it enables therapeutic interventions for residual and recurrent stones and thus prevents re-laparotomy-associated morbidity and mortality. In this case series, we present the nine cases of HL who underwent gastric access Roux-en-Y hepaticojejunostomy and were followed up for at least 16 months.

Source: Current Medical Issues

DOI: 10.4103/cmi.cmi_174_25

Authors: Namrata Majumdar, Dipratim Das, Sibnath Gayen, Debraj Mukherjee, Partha Chakraborty, Pankaj Kumar Halder

Institutions: Saroj Gupta Cancer Centre & Research Institute, Nil Ratan Sircar Medical College and Hospital, R. G. Kar Medical College and Hospital

Language: English

Topic: Gallbladder and Bile Duct Disorders

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7151776368

FWCI:

Cites: 10

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