Long-term Results of Roux-en-Y Procedure in Choledochal Cyst and in Cholelithiasis.
- Author:
Joo Hyun KIM
1
;
Young Gwan KO
;
Suck Hwan KOH
;
Choong YOON
;
Sang Mok LEE
;
Sung Wha HONG
Author Information
1. Department of Surgery, School of Medicine, Kyung-Hee University Hospital, Seoul, Korea. jookman@msn.com
- Publication Type:Original Article
- Keywords:
Choledochal cyst;
Cholelithiasis;
Roux-en-Y;
Long-term complication
- MeSH:
Abscess;
Cholangitis;
Choledochal Cyst*;
Choledochostomy;
Cholelithiasis*;
Follow-Up Studies;
Hepatectomy;
Humans;
Peptic Ulcer;
Retrospective Studies
- From:Korean Journal of Hepato-Biliary-Pancreatic Surgery
2002;6(2):173-180
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: The long-term results of Roux-en-Y procedure as a treatment for choledochal cyst or cholelithiasis were compared and analyzed. METHODS: A retrospective analysis was carried out for 70 patients (38 type 1 or type 4A choledochal cysts, 33 cholelithiasis) with ages ranging from 17 to 74 years who had undergone hepaticojejunostomy or choledochojejunostomy in a Roux-en-Y manner, with or without hepatectomy. RESULTS: Late complications related to the surgical procedure include cholangitis, recurrent stone, malignancy, abscess, and peptic ulcer disease. The late complication rate was 37.8% in the choledochal cyst group, and 27.3% in the cholelithiasis group. Cholangitis were found in 8.1% of the choledochal cyst group, and in 12.1% of the cholelithiasis group. Recurrent stones were found in 10.8% and 18.2%, respectively. A malignant tumor was found in each group, and both of them were not resectable. Peptic ulcers or erosions were found in 5 patients (13.5%) of the choledochal cyst group, but no one in the cholelithiasis group (p=0.056). CONCLUSION: Late complications after Roux-en-Y procedure in choledochal cyst or cholelithiasis are not uncommon and relatively serious. Long-term follow-up for the patients is mandatory, with attention being given to not only biliary symptoms, but also symptoms related to peptic ulcer disease.
