Unique Approach to Managing Hepatojejunal Anastomotic Stricture in a Patient With a Long Roux-en-Y Limb
1Department of Internal Medicine, Internal Medicine Residency Spokane, Sacred Heart Medical Center, Spokane, WA.
ACG Case Reports Journal
|April 6, 2026
Summary
Roux-en-Y hepaticojejunostomy can lead to anastomotic strictures. A novel duodenojejunostomy approach enabled endoscopic ultrasound-directed therapy for a complex case, avoiding surgery.
Area of Science:
- Gastroenterology and Hepatology
- Interventional Endoscopy
- Surgical Anatomy
Background:
- Anastomotic strictures are common after Roux-en-Y hepaticojejunostomy.
- Complex cases with long Roux limbs pose challenges for standard endoscopic interventions.
- Intrahepatic stones can complicate anastomotic strictures, requiring advanced management.
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