Biliary Enteric Divertion with Uncut Roux-Y

Aim: Conventional Roux-Y (C-RY) hepaticojejunostomy has been used for bilienteric diversion for many years. Following this operation, postoperative ascending cholangitis may occur due to Roux anus stasis. To avoid this problem, an alternative technique called uncut Roux-Y (U-RY) anastomosis has been proposed. The aim of this study was to compare the effect of anastomosis type on postoperative cholangitis in patients undergoing C-RY and U-RY hepaticojejunostomy for bilioenteric diversion. Methods: The medical records of patients who underwent hepaticojejunostomy at Celal Bayar University Department of General Surgery and Izmir Tepecik Training Hospital General Surgery Clinic between January 2000 and January 2018 were retrospectively reviewed. Patients who underwent hepaticojejunostomy were divided into 2 groups as U-RY (n=18) and C-RY (n=17) according to anastomosis type. The association of both methods with the development of postoperative cholangitis was analyzed. The limit of statistical significance was accepted as p0,05) Conclusions: The U-RY ans technique is an easy surgical procedure for biliaryenteric diversion. This procedure may be useful to prevent Roux stasis syndrome and postoperative cholangitis. Multicenter clinical trials with large patient series are needed to reach reliable results.