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01-11-2007 | Original Paper

Enterolith Formation in the Roux Limb Hepaticojejunostomy

Authors: W. S. Tan, Alexander Y. F. Chung, Albert S. C. Low, F. K. Cheah, S. C. Ong

Published in: Digestive Diseases and Sciences | Issue 11/2007

Abstract

Enterolith in the Roux limb of Roux-en-Y hepaticojejunostomy is rare. We report a case of a Roux loop enterolith presenting with recurrent cholangitis. Cholescintigraphy and magnetic resonance imaging aided in the preoperative diagnosis. Intraoperatively, a large enterolith was extracted distal to the biliodigestive anastomosis. A kink of the small bowel was also noted distal to the stone. The mechanism for enterolith formation in the Roux loop is discussed.

Matthews JB, Baer HU, Schweizer WP, Gertsch P, Carrel T, Blumgart LH (1993) Recurrent cholangitis with and without anastomotic stricture after biliary-enteric bypass. Arch Surg 128:269–272PubMed

De Moor V, El Nakadi I, Jeanmart J, Gelin M, Donckier V (2003) Cholangitis caused by Roux-en-Y hepaticojejunostomy obstruction by a biliary stone after liver transplantation. Transplantation 75:416–418PubMedCrossRef

Santori N, Falconi M, Contro C, Bassi C, Pederzoli P (1999) Symptomatic stone in the duodenum after gastrectomy. Surgery 129:238–239CrossRef

Geoulakos G, Taylor W, Smithers BM, Wilkin’s JL (1987) Multiple enteroliths in a chronically obstructed duodenal loop after Roux en Y biliary diversion. Surgery 102:883–885

Conter RL, Converse JO, McGarrity TJ, Koch KL (1990) Afferent loop obstruction presenting as acute pancreatitis and pseudocyst: case reports and review of the literature. Surgery 108:22–27PubMed

van der Mijle HC, Kleibeuker JH, Limburg AJ, Bleichrodt RP, Beekhuis H, van Schilfgaarde R (1993) Manometric and scintigraphic studies of the relation between motility disturbances in the Roux limb and the Roux-en-Y syndrome. Am J Surg 166:11–17PubMedCrossRef

Ducrotte P, Peillon C, Guillemot F, Testart J, Denis P (1991) Could recurrent cholangitis after Roux-en-Y hepaticojejunostomy be explained by motor intestinal anomalies? A manometric study. Am J Gastroenterol 86:1255–1258PubMed

LeBlanc-Louvry I, Ducrotte P, Manouvrier JL, Peillon C, Testart J, Denis P (1999) Motility of the Roux-en-Y hepatico-jejunostomy in asymptomatic patients. Am J Gastroenterol 94:2501–2508CrossRef

Aigner RM, Fueger GF, Schimp LG, Sauer H, Nicoletti R (1997) Cholescintigraphy in the evaluation of bile flow after Roux-en-Y hepaticojejunostomy and hepaticoantrostomy in infants with choledochal cyst. Pediatr Radiol 27:850–854PubMedCrossRef

10.

Hashimoto N, Ohyanag H (2000) Hepatobiliary scintigraphy after biliary reconstruction—a comparative study on Roux-Y and ESCD. Hepatogastroenterology 47:1210–1212PubMed

11.

Hashimoto N, Kotoura Y, Ohyanag H (2005) Hepatobiliary scintigraphy after biliary reconstruction—Roux Y and RY-DJ. Hepatogastroenterolgy 52:200–202

Title: Enterolith Formation in the Roux Limb Hepaticojejunostomy
Authors: W. S. Tan
Alexander Y. F. Chung
Albert S. C. Low
F. K. Cheah
S. C. Ong
Publication date: 01-11-2007
Publisher: Springer US
Published in: Digestive Diseases and Sciences / Issue 11/2007
Print ISSN: 0163-2116
Electronic ISSN: 1573-2568
DOI: https://doi.org/10.1007/s10620-006-9097-1

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