Hepaticojejunostomy for bile duct injuries after cholecystectomy

ABSTRACT

This study included 19 patients [11 females and 8 males]. The patients presented with jaundice [6 cases] or external biliary fistula [13 cases] after previous cholecystectomy operation. The patients were subjected to ultrasonographic examination and fistulography was done in patients presented with a fistula. Hepaticojejunostomy was done in all cases In 3 cases simple loop hepaticojejunostomy and in the remaining 16 cases Roux en Y hepaticojejunostomy was carried out. A stent was used in all cases and left in place for 6 weeks then they were removed. Complications occurred in form of leakage closed spontaneously in one case and subphrenic collection in another case. Follow up of the patients revealed no complications. We advise the use of hepaticojejunostomy for restoration of bile flow after injuries of the bile ducts as it is safe, easy to construct and could be done in most cases