A Laparoscopic Roux-en-Y after a hepaticojejunostomy.

Jason LaTowsky, MD, Roger de la Torre, MD, Mark Perna, MD, Emily Cole, Medical, Student. University of Missouri Columbia

Major injury to the common bile duct is a well-known complication of a cholecystectomy procedure. Because of the altered anatomy, procedures of the fore-gut after biliary reconstruction present a surgical challenge. Open Roux-en-Y gastric bypass following Roux-en-Y pancreaticojejunstomy has previously been described by Timmermans, et al. We report a case of laparoscopic Roux-en-Y high divided gastric bypass after Roux-en-Y hepaticojejunostomy and describe the operative technique and follow up.

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