You are watching: New opening between the common bile duct and the jejunum
A choledochojejunostomy is a surgical procedure to do a connection (anastomosis) between the usual bile duct and also the jejunum, which is the middle portion of the small intestine. This an approach is called the Roux-en-Y choledochojejunostomy.
The common bile duct is the tubular channel that drains the bile from the liver and also gallbladder, v the pancreas, right into the duodenum, the beginning section of the tiny intestine. Bile help in digesting fats and fat-soluble vitamin in the tiny intestine.
An different procedure is choledochoduodenostomy, which creates an anastomosis in between the usual bile duct and also the duodenum.
A choledochojejunostomy may be carry out asOpen surgery: The surgeon provides a long, midline or appropriate incision and also uses surgical tools usual for performing open ab surgeries.Laparoscopic surgery: The surgeon makes a solitary or numerous tiny incisions. The surgeon then performs the procedure through tiny surgical tools placed through a versatile tube with a lighted camera (laparoscope).Robotic laparoscopic surgery: A robot operatesthe tiny surgical tools in the laparoscope. The surgeon uses a computer terminal come direct and also control the robotic equipment.
Choledochojejunostomy is performed to remove obstruction in the typical bile duct and also restore the continuous of the biliary tract. Biliary obstruction might causeInflammation the the bile duct (cholangitis)
Choledochojejunostomy procedure may be curative in the case of bright strictures, and palliative to relieve symptoms in malignant diseases. Choledochojejunostomy is perform in cases that include:Common bile duct obstruction as result of malignant tumors originating in thepancreasduodenumlivergallbladderbiliary tractObstruction in the usual bile duct due tostonesinflammationIn association v a gastrojejunostomy (an anastomosis created between the stomach and also jejunum) to stop potential gastric outlet obstructionAfter liver transplantationInjury come the biliary system
A choledochojejunostomy is carry out under basic anesthesia by a cradle surgeon.Preparation
Prior to a choledochojejunostomy, the patient may be compelled to undergoBlood, urine, and also imaging tests.Correction therapy in the situation of blood coagulation disorders due to the fact that of liver dysfunction.A course of antibiotics because that infection.
See more: 401_Chem Is Evaporation A Physical Or Chemical Change, Is Evaporation A Physical Or Chemical Change
The patience mustAvoid eating or drink 8 hours prior to the procedure.Check v the doctor prior to taking any regular medications.ProcedureAn anesthesiologist administers anesthesia and also monitors the patient’s an essential functions throughout the procedure.The patience is intubated to provide oxygen.The surgeon provides one or more incisions in the abdomen relying on the type of surgery.The reduced section the the jejunum is taken approximately the usual bile duct.Bile fluid is removed for a culture test.The upper section of the severed jejunal tract is linked to the jejunum farther down.The abdominal muscle muscles and the incision room closed v sutures.Post-procedureThe patient will be monitored in the recovery room for number of hours.The patient may need hospitalization for up to a week depending on the kind of surgery.Complete recovery may take approximately 6 weeks throughout which duration the patient may needAvoid heavy liftingAvoid strenuous activitiesPatients through malignancies might need ongoing treatment.