Volume 20 No 12 (2022)
 Download PDF
Different Modalities in the Management of Post Hepaticojejunostomy Biliary Stricture
Mohammed Siam, Samir Ibrahim,Hatem Mohammed,Mohamed Farouk General Surgery Department, Faculty of Medicine, Zagazig University, Egypt
Biliary reconstruction with biliary-enteric anastomosis is frequently required in patients with benign and malignant illness of the hepatobiliary pancreatic area. One of the biliary-enteric anastomosis's long-term consequences, cholangiosis can necessitate numerous hospital stays and surgical procedures. Hepaticojejunostomy stricture is a serious complication of biliary surgery, if untreated, can lead to repeated cholangitis, biliary cirrhosis, hepatic failure and eventually death.Operations requiring biliary-enteric anastomosis are uncommon, and the true incidence of postoperative stricture is unknown. Factors that predict anastomotic stricture include proximal biliary stricture, multiple prior attempts at repair, intra-abdominal abscess or bile collection, external or internal biliary fistula, and anastomosis in an undilated duct. Some benign biliary strictures are idiopathic. Revision hepaticojejunostomy being a complex procedure will be difficult by the sequelae of long-standing unrelieved biliary obstruction like portal hypertension due to secondary biliary cirrhosis, atrophy of liver lobes and presence of cholangiolytic liver abscess with the success rate of surgical repair decreases with each successive surgical intervention. In addition, there is a need for additional reliable data to analyse and comprehend the impact of a cholangitis on patients' quality and length of life given the dearth of reports on post-hepaticojejunostomy cholangitis. Therefore, this study aimed to review the different modalities in the management of post hepaticojejunostomy biliary stricture.
Hepaticojejunostomy stricture; Modalities; Biliary Surgery
Copyright © Neuroquantology

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Articles published in the Neuroquantology are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJECSE right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.