|Discussion in 'All Categories' started by Seema Nanda - Apr 18th, 2013 11:18 am.|
|I was operated for Choledocal Cyst in 2007 at PGI Chandigarh. In 2011 HJ Stricture was diagnosed and dialatation was done by PTBD procedure. Currently Bilobar Central IHBRD with Hepaticolith Formation, sludge and wall thickening.|
re: Strictured hepatoicojejunostomy with cholangitis status excision of choledochal cyst Roux-Y-hepaticojejunostomy by Dr J S Chowhan - Apr 23rd, 2013 7:53 am
Dr J S Chowhan
|Dear Seema Nanda
We are sorry for your problem and from your agoni. Benign anastomotic stricture after hepaticojejunostomy is one of the most serious complications of biliary reconstructive surgery. If it is left untreated, jaundice, cholangitis, or liver cirrhosis may develop.
The most common potential risk factors for stricture formation are:
1. Bile duct ischemia
2. Multiple prior attempts at repair
3. Intra-abdominal abscess or bile collection
4. External or internal biliary fistula
5. Anastomosis in an undilated duct
6. Preoperative and postoperative percutaneous biliary drainage
7. Any comorbidities that might compromise visceral perfusion.
In your case a thorough investigation is required and then endoscopic or percutaneous route using balloon dilatation or stent placement can be tried. If this fails the Heineke-Mikulicz strictureplasty should be performed.
This is just the advise we are giving according to your history for more complete decision we need to examine you and once all the investigation is done, we can decide.
J S Chowhan
If you have a surgical concern and can’t reach a doctor right away, or you’re not sure where else to ask a qualified laparoscopic surgeon, you can get our Medical Help through this Forum of World Laparoscopy Hospital which is available 24 hours a day, Just fill-up the form given and within few our the answer of your question will be posted on this forum. Please keep in mind we answer the question only related to laparoscopic surgery. You can also search and browse thousands of answer already posted on this forum
Using Free Medical Advice Related to Laparoscopic Surgery Service, you can send your questions to our Laparoscopic Surgeon and the Doctor will reply within few hour. It’s as if you are having an email exchange with your very own private surgeon! As soon as you post your question, a qualified laparoscopic surgeon will start answering it. Our expert can help you learn more about the treatment and procedure options available to you for different health problems and diseases.They’ll also give you information to discuss with your doctor when deciding what kind of surgical treatment is best for you.
The Doctor will provide you with the all the medical information you need, and will guide you as you choose a course of action, all from the comfort of your home or office. No more sitting in the waiting room for hours just to get some basic information from your laparoscopic surgeon; no more self-diagnosis after reading pages and pages of confusing and contradictory Online information.
World Laparoscopy Hospital gives you the personalized health information you need to decide on the right treatment for you. The information that you provide will be seen by every person for education and information purpose so please not write your real name.