Long-term biliary function after reconstruction of major bile duct injuries with hepaticoduodenostomy or hepaticojejunostomy

Robert J. Moraca, Faye T. Lee, John A. Ryan, L. William Traverso, Lawrence W. Way, Edward Phillips, James E Goodnight Jr

Research output: Contribution to journalArticle

61 Citations (Scopus)

Abstract

Hypothesis: Normal biliary function can be achieved after reconstruction for major bile duct injuries using either hepaticoduodenostomy (HD) or Roux-en-Y hepaticojejunostomy (HJ). Design: Retrospective analysis of consecutive patients requiring biliary enteric reconstructions from February 1, 1993, through January 1, 2002, for bile duct injuries. Setting: Academic multispecialty referral clinic. Patients: Twenty-seven consecutive patients were evaluated who underwent biliary enteric reconstruction for bile duct injury caused during cholecystectomy. Patients were reconstructed either by HD (18 patients) or HJ (9 patients). Interventions: Patients' medical records were reviewed and long-term evaluations were obtained via telephone questionnaire by 2 separate observers (R.J.M. and F.T.L.). Biliary function was evaluated in all using symptoms and liver function test results. Cholangiography was obtained, if indicated clinically. These were reviewed for stricture or dilatation. Any biliary interventions were recorded. Main Outcome Measures: Comparison of long-term biliary function after HD vs HJ reconstructions. Results: All patients were contacted after a median post-operative time of 54 months. Excellent or good results were observed for biliary function in 25 (92%) of the 27 patients. These results were obtained regardless of the type of reconstruction-HD (18 patients) or HJ (9 patients). Conclusions: We found biliary function to be normal at more than 4 years after biliary-enteric reconstruction for bile duct injury. When surgically feasible, we prefer HD to HJ.

Original languageEnglish (US)
Pages (from-to)889-894
Number of pages6
JournalArchives of Surgery
Volume137
Issue number8
StatePublished - 2002
Externally publishedYes

Fingerprint

Bile Ducts
Wounds and Injuries
Cholangiography
Liver Function Tests
Cholecystectomy
Operative Time
Telephone
Medical Records
Dilatation
Pathologic Constriction
Referral and Consultation
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Surgery

Cite this

Moraca, R. J., Lee, F. T., Ryan, J. A., Traverso, L. W., Way, L. W., Phillips, E., & Goodnight Jr, J. E. (2002). Long-term biliary function after reconstruction of major bile duct injuries with hepaticoduodenostomy or hepaticojejunostomy. Archives of Surgery, 137(8), 889-894.

Long-term biliary function after reconstruction of major bile duct injuries with hepaticoduodenostomy or hepaticojejunostomy. / Moraca, Robert J.; Lee, Faye T.; Ryan, John A.; Traverso, L. William; Way, Lawrence W.; Phillips, Edward; Goodnight Jr, James E.

In: Archives of Surgery, Vol. 137, No. 8, 2002, p. 889-894.

Research output: Contribution to journalArticle

Moraca, Robert J. ; Lee, Faye T. ; Ryan, John A. ; Traverso, L. William ; Way, Lawrence W. ; Phillips, Edward ; Goodnight Jr, James E. / Long-term biliary function after reconstruction of major bile duct injuries with hepaticoduodenostomy or hepaticojejunostomy. In: Archives of Surgery. 2002 ; Vol. 137, No. 8. pp. 889-894.
@article{1cbb8f31d9ba48ab9380ac87b989f86c,
title = "Long-term biliary function after reconstruction of major bile duct injuries with hepaticoduodenostomy or hepaticojejunostomy",
abstract = "Hypothesis: Normal biliary function can be achieved after reconstruction for major bile duct injuries using either hepaticoduodenostomy (HD) or Roux-en-Y hepaticojejunostomy (HJ). Design: Retrospective analysis of consecutive patients requiring biliary enteric reconstructions from February 1, 1993, through January 1, 2002, for bile duct injuries. Setting: Academic multispecialty referral clinic. Patients: Twenty-seven consecutive patients were evaluated who underwent biliary enteric reconstruction for bile duct injury caused during cholecystectomy. Patients were reconstructed either by HD (18 patients) or HJ (9 patients). Interventions: Patients' medical records were reviewed and long-term evaluations were obtained via telephone questionnaire by 2 separate observers (R.J.M. and F.T.L.). Biliary function was evaluated in all using symptoms and liver function test results. Cholangiography was obtained, if indicated clinically. These were reviewed for stricture or dilatation. Any biliary interventions were recorded. Main Outcome Measures: Comparison of long-term biliary function after HD vs HJ reconstructions. Results: All patients were contacted after a median post-operative time of 54 months. Excellent or good results were observed for biliary function in 25 (92{\%}) of the 27 patients. These results were obtained regardless of the type of reconstruction-HD (18 patients) or HJ (9 patients). Conclusions: We found biliary function to be normal at more than 4 years after biliary-enteric reconstruction for bile duct injury. When surgically feasible, we prefer HD to HJ.",
author = "Moraca, {Robert J.} and Lee, {Faye T.} and Ryan, {John A.} and Traverso, {L. William} and Way, {Lawrence W.} and Edward Phillips and {Goodnight Jr}, {James E}",
year = "2002",
language = "English (US)",
volume = "137",
pages = "889--894",
journal = "JAMA Surgery",
issn = "2168-6254",
publisher = "American Medical Association",
number = "8",

}

TY - JOUR

T1 - Long-term biliary function after reconstruction of major bile duct injuries with hepaticoduodenostomy or hepaticojejunostomy

AU - Moraca, Robert J.

AU - Lee, Faye T.

AU - Ryan, John A.

AU - Traverso, L. William

AU - Way, Lawrence W.

AU - Phillips, Edward

AU - Goodnight Jr, James E

PY - 2002

Y1 - 2002

N2 - Hypothesis: Normal biliary function can be achieved after reconstruction for major bile duct injuries using either hepaticoduodenostomy (HD) or Roux-en-Y hepaticojejunostomy (HJ). Design: Retrospective analysis of consecutive patients requiring biliary enteric reconstructions from February 1, 1993, through January 1, 2002, for bile duct injuries. Setting: Academic multispecialty referral clinic. Patients: Twenty-seven consecutive patients were evaluated who underwent biliary enteric reconstruction for bile duct injury caused during cholecystectomy. Patients were reconstructed either by HD (18 patients) or HJ (9 patients). Interventions: Patients' medical records were reviewed and long-term evaluations were obtained via telephone questionnaire by 2 separate observers (R.J.M. and F.T.L.). Biliary function was evaluated in all using symptoms and liver function test results. Cholangiography was obtained, if indicated clinically. These were reviewed for stricture or dilatation. Any biliary interventions were recorded. Main Outcome Measures: Comparison of long-term biliary function after HD vs HJ reconstructions. Results: All patients were contacted after a median post-operative time of 54 months. Excellent or good results were observed for biliary function in 25 (92%) of the 27 patients. These results were obtained regardless of the type of reconstruction-HD (18 patients) or HJ (9 patients). Conclusions: We found biliary function to be normal at more than 4 years after biliary-enteric reconstruction for bile duct injury. When surgically feasible, we prefer HD to HJ.

AB - Hypothesis: Normal biliary function can be achieved after reconstruction for major bile duct injuries using either hepaticoduodenostomy (HD) or Roux-en-Y hepaticojejunostomy (HJ). Design: Retrospective analysis of consecutive patients requiring biliary enteric reconstructions from February 1, 1993, through January 1, 2002, for bile duct injuries. Setting: Academic multispecialty referral clinic. Patients: Twenty-seven consecutive patients were evaluated who underwent biliary enteric reconstruction for bile duct injury caused during cholecystectomy. Patients were reconstructed either by HD (18 patients) or HJ (9 patients). Interventions: Patients' medical records were reviewed and long-term evaluations were obtained via telephone questionnaire by 2 separate observers (R.J.M. and F.T.L.). Biliary function was evaluated in all using symptoms and liver function test results. Cholangiography was obtained, if indicated clinically. These were reviewed for stricture or dilatation. Any biliary interventions were recorded. Main Outcome Measures: Comparison of long-term biliary function after HD vs HJ reconstructions. Results: All patients were contacted after a median post-operative time of 54 months. Excellent or good results were observed for biliary function in 25 (92%) of the 27 patients. These results were obtained regardless of the type of reconstruction-HD (18 patients) or HJ (9 patients). Conclusions: We found biliary function to be normal at more than 4 years after biliary-enteric reconstruction for bile duct injury. When surgically feasible, we prefer HD to HJ.

UR - http://www.scopus.com/inward/record.url?scp=0036329322&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036329322&partnerID=8YFLogxK

M3 - Article

C2 - 12146986

AN - SCOPUS:0036329322

VL - 137

SP - 889

EP - 894

JO - JAMA Surgery

JF - JAMA Surgery

SN - 2168-6254

IS - 8

ER -