‘O-Configuration of Biliary-Enteric Drainage: a Preventable Surgical Error

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• 作者：Vikas Gupta ; Lohith Umapathy ; Ajay Gulati ; Gurpreet Singh
• 关键词：Roux ; en ; Y ; Roux ; en ; O ; O loop ; Hepaticojejunostomy ; Biliary ; Injury ; Stricture ; Reconstruction ; Surgery ; Error
• 刊名：Indian Journal of Surgery
• 出版年：2015
• 出版时间：April 2015
• 年：2015
• 卷：77
• 期：1-supp
• 页码：156-158
• 全文大小：296 KB
• 参考文献：1.Shimada H, Ando I, Shimada K, Matsuyama R, Kobayashi N, Kubota K (2012) The current diagnosis and treatment of benign biliary stricture. Surgery Today 42:1143-3View Article PubMed
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• 作者单位：Vikas Gupta (1)
  Lohith Umapathy (1)
  Ajay Gulati (2)
  Gurpreet Singh (1)
  
  1. Department of Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India
  2. Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India
  
• 刊物主题：Surgery; Pediatric Surgery; Neurosurgery; Plastic Surgery; Cardiac Surgery; Thoracic Surgery;
• 出版者：Springer India
• ISSN：0973-9793

文摘

Surgical errors in Roux limb reconstruction are not reported widely. A young male who underwent hepaticojejunostomy after biliary injury developed acute obstruction of the proximal jejunum. Barium study revealed the O configuration of alimentary limb—‘O-sign. At laparotomy, he was found to have the alimentary limb joining on to itself and without any connection with the biliary limb. The O loop complex was resected, and Roux-en-Y construction was refashioned. He made an uneventful recovery and is well at one year follow-up. We have reviewed the literature and propose a classification system for such type of errors. Every effort should be made to prevent this complication.