A Method to Prevent Biliary Reflux in Hepaticojejunostomy after Excision of Choledochal Cyst
張中廣(Zhong-Guang Zhang)；曲修水(Xiu-Shui Qu)；于國慶(Guo-Qing Yu)；田亞麗；徐兆雲
膽總管囊腫 ； 外科學 ； 膽汁返流 ； Choledochal cyst ； Operation ； Biliary reflux
|Volume or Term/Year and Month of Publication||
12卷4期（2005 / 08 / 25）
609 - 610
Objective: To explore a more effective method to deduce or avoid billiary reflux after excision of congenital choledochal cyst (CCC). Methods: After hepaticojejunostomy with Roux-en-Y, two pieces of U-like valve at the distal anastomotic stoma of jejunum were made and suited together. Then the proximal jejunum above the anastomotic stoma of jejunum was sutured longitally for about 5 cm so as to narrow the proximal jejunum to approximately 2/3 of its oringinal width. Then the two branches of jejunum were sutured together longitally above the anastomotic stoma for about 5 cm. Results: Eleven cases of CCC were treated with this method. No one died or had complications. There was no refluxed cholangitis during the follow-up of 0.5 to 6 years. Conclusion: The procedure of narrowing the proximal jejunum and adding dual U-like valves to prevent biliary reflux proved to be effective in preventing biliary reflux in hepaticojejunostomy after excision of choledochal cyst in the treatment of congenital choledochal cyst.