| UNUSUAL CASE |
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| Year : 2021 | Volume
: 17
| Issue : 2 | Page : 253-255 |
Laparoscopic-assisted transjejunal endoscopic management of intrahepatic calculi and anastomotic stricture in a patient with Roux-en-Y hepaticojejunostomy
Elbert Khiangte1, Kamal Chetri2, Iheule Newme Khiangte3, Karabi Patowary Deka4, Partha Phukan1, Mukesh Agarwala2
1 Department of General and Minimal Access Surgery, Apollo Hospitals, Guwahati, Assam, India
2 Department of Gastroenterology, Apollo Hospitals, Guwahati, Assam, India
3 Department of Obstetrics and Gynaecology, Apollo Hospitals, Guwahati, Assam, India
4 Department of Anaesthesia, Apollo Hospitals, Guwahati, Assam, India
Correspondence Address:
Dr. Elbert Khiangte
Department of General and Minimal Access Surgery, Apollo Hospitals, Guwahati, Assam
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jmas.JMAS_79_20
Management of complications in patients with Roux-en-Y reconstruction is still today an important surgical and endoscopic challenge. Various techniques have been employed to manage biliary strictures and intrahepatic calculi in patients with Roux-en-Y hepaticojejunostomy (RYHJ). We report the case of a 24-year-old female who had undergone RYHJ reconstruction 3 years back for choledochal cyst, admitted with the diagnosis of obstructive jaundice due to anastomotic stricture and multiple hepatic duct calculi. She was successfully treated with laparoscopic-assisted transjejunal endoscopic management of intrahepatic calculi and anastomotic stricture, which appears to be safe and useful procedure for anastomotic stricture and hepatic duct calculi in patients with surgically altered anatomy.
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