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

Gustavo A. Quintero, Hector Espinosa, Germán Pineres, Alvaro Ariza, Natan Zundel, Rafael Botero, Hermann Cuervo, Gonzalo Ucros, José Félix Patiño

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6 Scopus citations

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. © 1992 the Société Internationale de Chirurgie.
Original languageEnglish (US)
Pages (from-to)1178-1181
Number of pages4
JournalWorld Journal of Surgery
DOIs
StatePublished - Nov 1 1992
Externally publishedYes

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