What is Hepaticoduodenostomy?

The surgical formation of a communication between a hepatic duct and the duodenum.

What is Roux en Y Hepaticojejunostomy?

What is hepaticojejunostomy? A hepaticojejunostomy, or Roux-en-Y procedure, bypasses the bile duct to allow digestive juices to drain from the liver directly into the small intestine. The hepatic duct is the tubular channel that carries bile from the liver to the small intestine to aid digestion.

What is choledochal cyst?

A choledochal cyst is a congenital anomaly of the duct (tube) that transports bile from the liver to the gall bladder and small intestine. The liver produces bile to help digest food. When a child has a choledochal cyst, a swelling of that duct, bile may back up in the liver.

Is cholangitis an infection?

Cholangitis is an inflammation of the bile duct system. The bile duct system carries bile from your liver and gallbladder into the first part of your small intestine (the duodenum). In most cases cholangitis is caused by a bacterial infection, and often happens suddenly. But in some cases it may be long-term (chronic).

What is T tube used for?

T Tube is a draining tube placed in the common bile duct after common bile duct (CBD) exploration with supra-duodenal choledochotomy. It provides external drainage of bile into a controlled route while the healing process of choledochotomy is maturing and the original pathology is resolving.

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Why is it called Roux-en-Y?

The Roux-en-Y is named after the Swiss surgeon Csar Roux (1857-1934), who was Chief of Surgery at the county hospital of Lausanne and following the opening of the new University of Lausanne, in 1890, was its inaugural Professor of External Pathology and Gynecology 4.

What is the purpose of Roux-en-Y?

Roux-en-Y gastric bypass (RYGB) is a type of weight-loss surgery. Weight-loss surgery is also called bariatric surgery. It’s often done as a laparoscopic surgery, with small incisions in the abdomen. This surgery reduces the size of your upper stomach to a small pouch about the size of an egg.

Why Roux-en-Y is done?

Gastric bypass is done to help you lose excess weight and reduce your risk of potentially life-threatening weight-related health problems, including: Gastroesophageal reflux disease. Heart disease. High blood pressure.

How is RPC treated?

Treatment. The treatment of RPC involves management of sepsis during episodes of cholangitis with antibiotics, abscess drainage, and blood pressure support. With resistant infection, a surgical hepatectomy or hepaticocutaneousjejunostomy can be performed. Lifelong surveillance for malignancy is also usually necessary.

When does a choledochal cyst need surgery?

Factors to be considered when performing surgery on patients with biliary cystic disease include: (1) age, (2) presenting symptoms, (3) cyst type, (4) associated biliary stones, (5) prior biliary surgery, (6) intrahepatic strictures, (7) hepatic atrophy/hypertrophy, (8) biliary cirrhosis, (9) portal hypertension, and ( …

Is choledochal cyst treatable?

The treatment of choice for choledochal cysts is complete excision of the cyst with construction of a biliary-enteric anastomosis to restore continuity with the gastrointestinal tract.

Is cholangitis serious?

Cholangitis can cause liver scarring (cirrhosis). This can slow liver function or lead to liver failure. It also increases the risk of liver cancer. It can cause liver swelling and high blood pressure.

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How long can cholangitis last?

As scar tissue replaces healthy liver tissue, the liver loses its ability to function. Most people want to know about primary sclerosing cholangitis life expectancy. All this described above happens very slowly, over the course of 10 to 15 years.

Can you recover from cholangitis?

Acute cholangitis is a serious illness that requires treatment. It is vital that people with this type of infection get diagnosed and treated promptly in order to avoid more serious complications. 1 The prognosis for cholangitis has improved in recent years and most people recover with treatment.

What is normal T-tube drainage?

Expect 300 to 500 ml of thick, blood-tinged, bright yellow to dark green bile drainage the first 24 hours after surgery. Report drainage greater than 500 ml/day. After about 4 days, the amount will be less than 200 ml/day.

How long does a drain stay in after gallbladder surgery?

The drain will need to stay in place for at least 6 weeks. This allows a muscular tract to form around the drainage, so that you do not leak bile into your belly when we remove the tube. You will need to keep the drain site clean, dry (covered while showering) and protected from accidentally getting pulled out .

What is a T-tube nursing?

You have been discharged with a T-tube. This is a tube put into the bile duct after surgery. It’s shaped like the letter T. It helps to drain bile while the duct is healing. The tube may drain into a bag that is attached to your body.

What is Candy Cane syndrome?

Candy cane syndrome is a rare complication reported in bariatric patients following Roux-en-Y gastric bypass. It occurs when there is an excessive length of roux limb proximal to gastrojejunostomy, creating the possibility for food particles to lodge and remain in the blind redundant limb.

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Is Roux-en-Y restrictive or malabsorptive?

Roux-en-Y is the most common type of gastric bypass surgery. The procedure involves stapling the stomach to create a small pouch that holds less food. We shape a portion of the small intestine into a Y. Roux-en-Y is: Malabsorptive (limits food absorption)

Which is better gastric sleeve or Roux-en-Y?

The sleeve gastrectomy procedure is technically easier, faster to perform, and potentially safer compared with Roux-en-Y gastric bypass. However, much more data on clinical and metabolic long-term outcomes are available on the Roux-en-Y gastric bypass procedure.

How is Roux-en-Y performed?

The Roux-en-Y gastric bypass procedure involves creating a stomach pouch out of a small portion of the stomach and attaching it directly to the small intestine, bypassing a large part of the stomach and duodenum.

How fast do you lose weight after Roux-en-Y?

Weight loss is one of the goals of bariatric surgery. The amount of weight loss will depend on the person and the procedure. But it tends to be rapid in the first few months. During the first 30 days after bariatric surgery, the average weight loss is 5 to 15 pounds per week.

Can you reverse Roux-en-Y?

Background: Roux-en-Y gastric bypass (RYGB) can be reversed into normal anatomy (NA) or into sleeve gastrectomy (NASG) to address undesired side effects. Concomitant hiatal hernia repair (HHR) may be required.

What foods Cannot be eaten after bariatric surgery?

What foods cannot be eaten after bariatric surgery?

  • Empty calorie foods (candy and other sweets, popcorn, chips)
  • Alcohol (avoid for six months after surgery)
  • Caffeinated (avoid for a month after surgery)
  • Sugary drinks.
  • Pasta, bread, and rice.
  • Corn, peas, potatoes, winter squash.

What happens to your old stomach after gastric bypass?

A: The remnant (or remaining) stomach gets smaller over time since it is no longer getting stretched with food and drink, but still serves an essential purpose in producing stomach acid and enzymes to help us digest our food.

What can disqualify you from bariatric surgery?

These are as follows:

  • Drug and/or alcohol addiction.
  • Age under 16 or over 75.
  • History of heart disease or severe lung problems. …
  • Chronic pancreatitis (or have a history of this).
  • Cirrhosis of the liver.
  • Autoimmune disease such as systemic lupus erthyematosus.
  • Blood disorder which increases your risk of heavy bleeding.