The treatment of intrahepatic stones by Roux-En-Y choledochojunostomy with subcutaneous jejunal conduit.

ABSTRACT

The major problem in the management of intrahepatic stones is recurrent cholangitis due to residual stones in the liver dislodging and obstructing the main path of biliary system. In order to avoid the re-operation, the Roux-Y choloedochojejunostomy with subcutaneous jejunal conduit is intervened. The procedure provides a permanent route from the exterior into the biliary system through which appropriate instruments can be passed for stones removal and biliary drainage. Recurrent cholangitis from residual stones in these patients were thus treated successfully. This may reduce the morbidity and mortality in the management of intrahepatic stones.