What is Hepaticoduodenostomy?

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

What are the hepatic ducts?

A tube that carries bile from the liver. It starts where the right and left hepatic (liver) ducts join outside the liver. It ends where the cystic duct from the gall bladder joins it to form the common bile duct.

What is mirizzi?

Mirizzi syndrome is defined as common hepatic duct obstruction caused by extrinsic compression from an impacted stone in the cystic duct or infundibulum of the gallbladder [1-3]. Patients with Mirizzi syndrome can present with jaundice, fever, and right upper quadrant pain.

What is RYHJ?

Background: Roux-en-Y hepaticojejunostomy (RYHJ) is the most well-accepted treatment for most post-cholecystectomy bile duct injuries (BDI). RYHJ failure is a complex situation that requires expert planning and the possibility of using a combination of operative, radiologic, and endoscopic techniques.

What does a bile duct do?

A tube that carries bile from the liver and the gallbladder through the pancreas and into the duodenum (the upper part of the small intestine). It is formed where the ducts from the liver and gallbladder are joined. It is part of the biliary duct system.

Is a blocked bile duct an emergency?

If something is blocking the bile duct, bile can back up into the liver. This can cause jaundice, a condition in which the skin and white of the eyes become yellow. The bile duct might become infected and require emergency surgery if the stone or blockage is not removed.

What causes bile duct problems?

The blockage is most commonly caused by gallstones or sludge impacting the bile ducts. Autoimmune disease such as primary sclerosing cholangitis may affect the system. Other, less common causes of cholangitis include: A tumor.

Is biliary colic painful?

A person with biliary colic typically feels pain in the middle to right upper abdomen. The pain can feel sharp, crampy, or like a constant dull ache. Colic often occurs in the evening, especially after eating a heavy meal. Some people feel it after bedtime.

Is Mirizzi syndrome fatal?

Extremely high levels of malignancy markers cancer antigen (CA) 19-9 have been found in patients and often have been mistakenly and incorrectly labelled as malignancy. Total mortality associated with Mirizzi syndrome is estimated to range from 5% to 31% [1].

What organs does a HIDA scan show?

A HIDA, or hepatobiliary, scan is a diagnostic test. It’s used to capture images of the liver, gallbladder, bile ducts, and small intestine to help diagnose medical conditions related to those organs. Bile is a substance that helps digest fat.

What does Choledochojejunostomy mean?

Choledochojejunostomy is a procedure for creating an anastomosis of the common bile duct (CBD) to the jejunum, performed to relieve symptoms of biliary obstruction and restore continuity to the biliary tract.

What is removed during a cholecystectomy?

A cholecystectomy is surgery to remove your gallbladder. The gallbladder is a small organ under your liver. It is on the upper right side of your belly or abdomen. The gallbladder stores a digestive juice called bile which is made in the liver.

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.

Can you live without a bile duct?

If left untreated, bile duct obstructions can lead to life-threatening infections. In the long-term, they can also result in chronic liver diseases, such as biliary cirrhosis.

What are the symptoms of a blocked bile duct?

Symptoms

• Abdominal pain in the upper right side.
• Dark urine.
• Fever.
• Itching.
• Jaundice (yellow skin color)
• Nausea and vomiting.
• Pale-colored stools.

How long can you live with a blocked bile duct?

Death from obstructive jaundice in the first few weeks of its course is quite rare and is only occasionally observed. After a period varying from four to six months, however, patients suffering from occlusion of the common bile duct usually deteriorate rapidly and die.

How do you unblock bile ducts?

Some of the treatment options include a cholecystectomy and an ERCP. A cholecystectomy is the removal of the gallbladder if there are gallstones. An ERCP may be sufficient to remove small stones from the common bile duct or to place a stent inside the duct to restore bile flow.

What does poop look like with gallstones?

Gallbladder issues often lead to changes in digestion and bowel movements. Unexplained and frequent diarrhea after meals can be a sign of chronic Gallbladder disease. Stools may become light-colored or chalky if bile ducts are obstructed.

What should I eat if I have a blocked bile duct?

Gallbladder-friendly foods

• bell peppers.
• citrus fruits.
• dark, leafy greens.
• tomatoes.
• milk.
• sardines.
• fish and shellfish.
• low-fat dairy.

Does a blocked bile duct cause pain?

When a blockage occurs in any of the bile ducts, bile accumulates within nearby structures. As bile builds up in the liver, it causes jaundice and other symptoms, such as nausea, vomiting, and upper abdominal pain. Depending on the cause, these symptoms can develop abruptly or slowly with time.

Can bile duct blockage be cured?

The goal of treatment is to relieve the blockage. Stones may be removed using an endoscope during an ERCP. In some cases, surgery is required to bypass the blockage. The gallbladder will usually be surgically removed if the blockage is caused by gallstones.

How do you improve your bile duct?

Bitter foods are great at stimulating bile production. You can choose from all dark green leafy vegetables, as well as beetroot, artichokes and pickles. Drinks such as roasted dandelion root tea, lemon tea, celery juice and coffee all stimulate bile production.