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Modified "Roux en Y" hepaticojejunostomy to permit transgastric endoscopic access
Moricz, André de; Azevedo, Otavio Schimdt; Campos, Tércio De; Colaiacovo, Rogério; Akiba, Tadayoshi; Silva, Rodrigo Altenfelder; Pacheco Jr, Adhemar Monteiro.
  • Moricz, André de; Santa Casa School of Medicine. Faculty of Medical Sciences. São Paulo. BR
  • Azevedo, Otavio Schimdt; Santa Casa School of Medicine. Faculty of Medical Sciences. São Paulo. BR
  • Campos, Tércio De; Santa Casa School of Medicine. Faculty of Medical Sciences. São Paulo. BR
  • Colaiacovo, Rogério; Santa Casa School of Medicine. Faculty of Medical Sciences. São Paulo. BR
  • Akiba, Tadayoshi; Santa Casa School of Medicine. Faculty of Medical Sciences. São Paulo. BR
  • Silva, Rodrigo Altenfelder; Santa Casa School of Medicine. Faculty of Medical Sciences. São Paulo. BR
  • Pacheco Jr, Adhemar Monteiro; Santa Casa School of Medicine. Faculty of Medical Sciences. São Paulo. BR
Acta cir. bras ; 29(supl.3): 14-16, 2014. graf
Article in English | LILACS | ID: lil-726250
ABSTRACT

PURPOSE:

To present an option technique during the accomplishment of a "Roux-en-Y" hepaticojejunostomy that, allows future transgastric endoscopic access to the biloenteric anastomosis.

METHODS:

The side-to-side "Roux-en-Y" hepaticojejunostomy is carried through transmesocolic, retrogastric short tunnel. A distal jejunal loop of approximately 10,0 to 15,0 cm must be kept far from the anastomosis that allows its setting, without tension, in the anterior gastric wall bellow the small bending, between body and of the stomach antrum. Once the jejunal segment is fixed on the anterior gastric wall, this will allow future endoscopic access to the bilioenteric anastomosis, carried through transgastric punction guided by endoscopic-ultrasound (EUS).

CONCLUSION:

The modified "Roux en Y" hepaticojejunostomy is a simple and new technique to permit an alternative transgastric endoscopic access to bilioenteric anastomosis. .
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Stomach / Anastomosis, Roux-en-Y / Endoscopy, Gastrointestinal / Jejunum Limits: Humans Language: English Journal: Acta cir. bras Journal subject: General Surgery / Procedimentos Cir£rgicos Operat¢rios Year: 2014 Type: Article Affiliation country: Brazil Institution/Affiliation country: Santa Casa School of Medicine/BR

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Full text: Available Index: LILACS (Americas) Main subject: Stomach / Anastomosis, Roux-en-Y / Endoscopy, Gastrointestinal / Jejunum Limits: Humans Language: English Journal: Acta cir. bras Journal subject: General Surgery / Procedimentos Cir£rgicos Operat¢rios Year: 2014 Type: Article Affiliation country: Brazil Institution/Affiliation country: Santa Casa School of Medicine/BR