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Role of Bilioenteric Bypass in the Management of Biliary Stone Disease

  • Lucio Lucas Pereira
  • Horacio J. Asbun
Chapter

Abstract

In this chapter we describe the surgical technique for the management of primary stones of the extrahepatic biliary tree, commonly in patients who have undergone cholecystectomy and multiple ERCP procedures to evacuate recurrent common bile duct stones. Surgical procedures are preferable as a definitive treatment in these patients to allow for symptom resolution, avoid the risk of recurrent pancreatitis and cholangitis as well as the need for repeated endoscopic retrograde cholangiopancreatography (ERCP) procedures.

Keywords

Biliary Anastomoses Bilioenteric Hepatic duct Choledochoduodenostomy Hepaticojejunostomy 

Supplementary material

Video 11.1

Choledocotomy and stone extraction (Modified with permission from Asbun HJ, Stauffer J. Ch 11. Laparoscopic Bile Duct Resection and Hepaticojejunostomy for Type I Choledochal Cyst. In: Asbun HJ, Geller DA (eds). ACS Multimedia Atlas of Surgery: Liver Surgery Volume. Woodbury, CT: Ciné-Med. 2014) (MP4 34613 kb)

Video 11.2

Choledochoduodenostomy anastomoses (Modified with permission from Asbun HJ, Stauffer J. Ch 11. Laparoscopic Bile Duct Resection and Hepaticojejunostomy for Type I Choledochal Cyst. In: Asbun HJ, Geller DA (eds). ACS Multimedia Atlas of Surgery: Liver Surgery Volume. Woodbury, CT: Ciné-Med. 2014) (MP4 80517 kb)

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of General SurgeryMayo Clinic FloridaJacksonvilleUSA
  2. 2.Department of SurgeryMayo Clinic FloridaJacksonvilleUSA

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