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Journal articles on the topic 'Biliary lithiasis'

Author: Grafiati

Published: 4 June 2021

Last updated: 17 February 2022

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1

Hosmer, Amy, Mohamed Abdelfatah, Ryan Law, and Todd Baron. "Endoscopic ultrasound-guided hepaticogastrostomy and antegrade clearance of biliary lithiasis in patients with surgically-altered anatomy." Endoscopy International Open 06, no. 02 (2018): E127—E130. http://dx.doi.org/10.1055/s-0043-123188.

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Abstract Background and study aims Endoscopic retrograde cholangiography (ERC) in patients with complex surgically-altered anatomy (SAA) is technically demanding and has limitations. Developments in EUS-guided procedures allow alternative approaches for patients with altered gastrointestinal anatomy and biliary lithiasis. Patients and methods Single-center, retrospective review of prospectively entered patients with SAA who underwent EUS-guided hepaticogastrostomy (HGS) followed by an interval antegrade endoscopic clearance of biliary lithiasis. Results 9 patients with Roux-en-Y anatomy underw

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2

Neoptolemos, J. P. "Biliary lithiasis in the elderly." British Journal of Surgery 75, no. 2 (1988): 190. http://dx.doi.org/10.1002/bjs.1800750243.

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3

Moesch, Christian, Denis Sautereau, Alain Gainant, and Bernard Pillegand. "Biliary drug lithiasis: dipyridamole gallstones." Lancet 340, no. 8831 (1992): 1352–53. http://dx.doi.org/10.1016/0140-6736(92)92536-o.

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4

NDOSI, BETHUEL N. "Biliary Lithiasis in Dar Es Salaam." Australasian Radiology 31, no. 3 (1987): 292–94. http://dx.doi.org/10.1111/j.1440-1673.1987.tb01833.x.

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5

Cainzos, M., J. Potel, and J. L. Puente. "Anergy in patients with biliary lithiasis." British Journal of Surgery 76, no. 2 (1989): 169–72. http://dx.doi.org/10.1002/bjs.1800760222.

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6

Monson, J. R. T., and M. Cainzos. "Anergy in patients with biliary lithiasis." British Journal of Surgery 76, no. 9 (1989): 988. http://dx.doi.org/10.1002/bjs.1800760939.

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7

Moreira, V. F., C. Arocena, F. Cruz, M. Alvarez, and A. L. San Roman. "Bronchobiliary fistula secondary to biliary lithiasis." Digestive Diseases and Sciences 39, no. 9 (1994): 1994–99. http://dx.doi.org/10.1007/bf02088137.

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8

Boëchat, Márcia Cristina Bastos, Kátia Silveira da Silva, Juan Clinton Llerena Jr, and Paulo Roberto Mafra Boëchat. "Cholelithiasis and biliary sludge in Down’s syndrome patients." Sao Paulo Medical Journal 125, no. 6 (2007): 329–32. http://dx.doi.org/10.1590/s1516-31802007000600005.

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CONTEXT AND OBJECTIVE: Although studies have demonstrated increased frequency of gallbladder abnormalities among Down’s syndrome (DS) patients in some countries, there is only one paper on this subject in the Brazilian literature. The aim of this study was to demonstrate the prevalence, clinical characteristics and evolution of lithiasis and biliary sludge among DS patients in a maternity and children’s hospital in Rio de Janeiro. DESIGN AND SETTING: This was a cross-sectional study followed by a retrospective cohort study on all individuals with an ultrasound diagnosis of gallbladder abnormal

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9

Nagakawa, Takukazu. "Biliary Surgery Via Minilaparotomy — A Limited Procedure for Biliary Lithiasis." HPB Surgery 6, no. 4 (1993): 245–54. http://dx.doi.org/10.1155/1993/56128.

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Cholelithiasis until now has been treated using solvents, lithotripsy via a biliary endoscope, laser or shock wave lithotripsy, and laparoscopic cholecystectomy. have developed a new surgical treatment for cholelithiasis in which a cholecystectomy is performed through a minilaparotomy. This paper presents this new technique and discusses the principles of surgery for cholelithiasis using this technique. This procedure is performed by a 2 to 3 cm subcostal skin incision in the right hypochondrium. More than 400 patients were treated by this technique. This procedure is not different in terms of

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10

Akhter, Nasima, S. M. Moinul Islam, Saiyeeda Mahmood, Gazi Abul Hossain, and Ratan Kumar Chakraborty. "Prevalence of biliary ascariasis and its relation to biliary lithiasis." Journal of Medical Ultrasonics 33, no. 1 (2006): 55–59. http://dx.doi.org/10.1007/s10396-005-0068-5.

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11

Ponchon, T., R. Bory, A. Chavaillon, and Ph Fouillet. "Biliary Lithiasis: Combined Endoscopic and Surgical Treatment." Endoscopy 21, no. 01 (1989): 15–18. http://dx.doi.org/10.1055/s-2007-1012886.

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12

Barthet, M., C. Affriat, J. P. Bernard, P. Berthezene, J. C. Dagorn, and J. Sahel. "Is biliary lithiasis associated with pancreatographic changes?" Gut 36, no. 5 (1995): 761–65. http://dx.doi.org/10.1136/gut.36.5.761.

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13

Pascual, I., A. Peña, I. Ortega, et al. "Acute biliary pancreatitis: The significane of morfological characteristics in biliary lithiasis." Gastroenterology 114 (April 1998): A490. http://dx.doi.org/10.1016/s0016-5085(98)81984-7.

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14

Rayya, Fadi, and Ehab Alhasan. "Liver Segmentectomy by Intrahepatic Lithiasis." Case Reports in Gastroenterology 15, no. 1 (2021): 305–11. http://dx.doi.org/10.1159/000511005.

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Intrahepatic cholelithiasis, which is defined as stones proximal to the confluence of the hepatic ducts, is considered endemic in Southeast Asia. Its pathogenesis is not completely understood yet. A 19-year-old female was admitted to the hospital with a history of recurrent biliary pancreatitis. Abdominal ultrasound detected normal gallbladder while magnetic resonance cholangiopancreatography revealed lithiasis at the hepatic duct of liver segment V. After preoperative evaluation a typical segmentectomy was done. The postoperative period was uneventful and the patient was well at 6-month follo

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15

Ustyol, L., MD Bulut, K. Agengin, et al. "Comparative evaluation of ceftriaxone- and cefotaxime-induced biliary pseudolithiasis or nephrolithiasis: A prospective study in 154 children." Human & Experimental Toxicology 36, no. 6 (2016): 547–53. http://dx.doi.org/10.1177/0960327116658108.

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Background: Biliary lithiasis, or sludge, and nephrolithiasis have been reported as a possible complication of ceftriaxone therapy. However, no study related to cefotaxime-induced biliary pseudolithiasis or nephrolithiasis was observed in the literature. Therefore, we investigated the comparative formation of biliary pseudolithiasis and nephrolithiasis after cefotaxime and ceftriaxone therapies. Methods: The patients treated with ceftriaxone or cefotaxime were enrolled during the study period. Ultrasound imaging of the biliary and urinary tract was performed in all patients before and after th

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16

Sautereau, D., C. Moesch, J. C. Letard, F. Cessot, A. Gainant, and B. Pillegand. "Recurrence of Biliary Drug Lithiasis Due to Dipyridamole." Endoscopy 29, no. 05 (1997): 421–23. http://dx.doi.org/10.1055/s-2007-1004228.

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17

Krawczyk, Marcin, Juan Francisco Miquel, Caroline S. Stokes, et al. "Genetics of biliary lithiasis from an ethnic perspective." Clinics and Research in Hepatology and Gastroenterology 37, no. 2 (2013): 119–25. http://dx.doi.org/10.1016/j.clinre.2012.09.002.

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18

Chow, Bing Lun, Khawaja Zia, Stuart Scott, and Mariasoosai Pathmarajah. "The curious case of biliary emesis and bowel obstruction from Bouveret syndrome." BMJ Case Reports 12, no. 8 (2019): e230194. http://dx.doi.org/10.1136/bcr-2019-230194.

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Bouveret syndrome is a rare complication of biliary lithiasis. This sequela is caused by the passage of the gallstone via a bilioenteric fistula, resulting in an impacted gallstone in the duodenum or stomach. The common presentation of non-specific symptoms contributes to the diagnostic uncertainty and delay, which is strongly associated with adverse outcomes. We report an uncomplicated stone extraction via open gastrotomy in an elderly man afflicted with bowel obstruction and biliary vomit secondary to Bouveret syndrome.

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19

Stoica, Victor, Vasile Lungu, Carmen M. Preda, Gabriel Constantinescu, Anca Hurduc, and Mircea Diculescu. "Cholecysto-Cutaneous Fistula in a Patient with Biliary Lithiasis." Journal of Gastrointestinal and Liver Diseases 26, no. 2 (2017): 112. http://dx.doi.org/10.15403/jgld.2014.1121.262.vst.

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20

ESCALLON, ALBERTO, WLEDIMIR ROSALES, and JOAQUIN S. ALDRETE. "Reliability of Pre- and Intraoperative Tests for Biliary Lithiasis." Annals of Surgery 201, no. 5 (1985): 640–47. http://dx.doi.org/10.1097/00000658-198505000-00014.

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21

Erlinger, S. "Intrahepatic lithiasis: A possible consequence of congenital biliary strictures." Gastroenterology 93, no. 3 (1987): 657. http://dx.doi.org/10.1016/0016-5085(87)90935-8.

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22

Crespi, M., G. Montecamozzo, and D. Foschi. "Diagnosis and Treatment of Biliary Fistulas in the Laparoscopic Era." Gastroenterology Research and Practice 2016 (2016): 1–6. http://dx.doi.org/10.1155/2016/6293538.

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Biliary fistulas are rare complications of gallstone. They can affect either the biliary or the gastrointestinal tract and are usually classified as primary or secondary. The primary fistulas are related to the biliary lithiasis, while the secondary ones are related to surgical complications. Laparoscopic surgery is a therapeutic option for the treatment of primary biliary fistulas. However, it could be the first responsible for the development of secondary biliary fistulas. An accurate preoperative diagnosis together with an experienced surgeon on the hepatobiliary surgery is necessary to dea

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23

Tsurumi, Kiyohiko, and Shigeru Suzuki. "Clinical study of endoscopic therapy for the biliary tract lithiasis." Keio Journal of Medicine 36, no. 2 (1987): 179–86. http://dx.doi.org/10.2302/kjm.36.179.

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24

Zhan, Han-Xiang, Lei Wang, Guang-Yong Zhang, Zhan-Yuan Li, San-Yuan Hu, and Zong-Li Zhang. "Rare Long-Term Complications Following Pancreaticoduodenectomy: Biliary and Pancreatic Lithiasis." Current Signal Transduction Therapy 11, no. 1 (2016): 23–27. http://dx.doi.org/10.2174/1574362410666150528001636.

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25

Rebello, Celso M., Felipe S. Rossi, Eduardo J. Troster, Cléa R. Leone, and José L. A. Ramos. "Ceftriaxione associated biliary lithiasis in newborns - Report of two cases." Jornal de Pediatria 70, no. 2 (1994): 113–14. http://dx.doi.org/10.2223/jped.736.

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26

Debnath, J., I. Chakraborty, and R. Mohan. "Biliary Lithiasis: Prevalence and Ultrasound Profile in a Service Hospital." Medical Journal Armed Forces India 59, no. 1 (2003): 15–17. http://dx.doi.org/10.1016/s0377-1237(03)80096-5.

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27

Moray, G., Ö. Başaran, H. Karakayali, M. C. Yağmurdur, N. Bilgin, and M. Haberal. "Evaluation and treatment of biliary lithiasis in renal transplantation candidates." Transplantation Proceedings 35, no. 7 (2003): 2712–13. http://dx.doi.org/10.1016/j.transproceed.2003.09.048.

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28

Courbon, E., F. Laylavoix, C. Soulie, et al. "Unexpected atazanavir-associated biliary lithiasis in an HIV-infected patient." Journal of Antimicrobial Chemotherapy 67, no. 1 (2011): 250–51. http://dx.doi.org/10.1093/jac/dkr435.

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29

Mita, MT, G. Dalmonte, A. Gnocchi, and F. Marchesi. "Transjejunal laparoscopic-assisted ERCP in Roux-en-Y patient: the new right path." Annals of The Royal College of Surgeons of England 101, no. 2 (2019): e45-e47. http://dx.doi.org/10.1308/rcsann.2018.0188.

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The incidence of biliary lithiasis after gastric surgery seems to be higher than in the general population. Endoscopic retrograde cholangiopancreatography (ERCP) allows several biliary and pancreatic pathologies to be dealt with; however, in patients with an altered anatomy of the upper and mid gastrointestinal tract, this endoscopic manoeuvre can be extremely challenging. We report a case of a 79-year-old woman with previous subtotal gastrectomy and Roux-en-Y reconstruction, admitted with a diagnosis of cholecystitis and choledocolithiasis. She was successfully treated with transjejunal lapar

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30

Duron, J. J., J. M. Roux, P. Imbaud, J. L. Dumont, D. Dutet, and J. Validire. "Biliary lithiasis in the over seventyfive group: A new therapeutic strategy." British Journal of Surgery 74, no. 9 (1987): 848–49. http://dx.doi.org/10.1002/bjs.1800740933.

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31

Cardoso, Tiago Magalhães, Érica Paulinne Pereira Brandão, Fernando Fernandes Rodrigues, and Luíz Felipe Lima Ceccato. "Choledochal cyst type I-A: a case report." Brazilian Journal of Case Reports 1, no. 3 (2021): 6–11. http://dx.doi.org/10.52600/2763-583x.bjcr.2021.1.3.6-11.

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Choledocal cysts are cystic dilations that can occur in a single or multiple form in the biliary tree. Cysts can be congenital or acquired and are associated with numerous anatomical abnormalities. The presence of pain in the upper right quadrant of the abdomen, jaundice and palpable abdominal mass form the classic triad that is present in 15% to 45% of patients. We report the case of a 19-year-old woman patient, who she was admitted with abdominal pain in the right hypochondrium, nausea and vomiting, which evolved into jaundice. When seeking medical care, a large liver cyst and cholelithiasis

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32

A., Saidou, Herrero A., Ide K., James Didier L., Younssa H., and Sani R. "Ileus Biliaire : A Propos D’un Cas Clinique." European Scientific Journal, ESJ 13, no. 30 (2017): 529. http://dx.doi.org/10.19044/esj.2017.v13n30p529.

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Introduction: Gallstone ileus is a rare mechanical occlusion. It is caused by the enclosure of biliary macro lithiasis in a portion of the digestive tract resulting from a digestive bile fistula. We report a clinical case to discuss therapeutic modalities through a review of the literature. Medical observation: We report the case of a 77-year-old patient who was hospitalized in the Nephrology department of the university hospital in Montpellier for functional kidney failure and dehydration from vomiting and diarrhea. The none-injected abdominal-pelvic CT scan showed a gallstone ileus with 5 en

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33

Chapela, Sebastián Pablo, Silvina de los Angeles Paz, and Florencia Maria Ballestero. "Pancreatitis Induced by Cocaine." Case Reports in Gastroenterology 11, no. 1 (2017): 212–18. http://dx.doi.org/10.1159/000468511.

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Pancreatitis is one of the commonest diseases of the gastrointestinal tract, characterized by epigastric pain of moderate to severe intensity, which radiates to the back, elevation of pancreatic lipase and amylase enzymes, and changes in pancreatic parenchyma in imaging methods. The most common etiologies vary, generally the most frequent being biliary lithiasis and alcohol, followed by hypertriglyceridemia. Among the less frequent causes is drug-induced pancreatitis. We report a case of acute pancreatitis caused by cocaine, rarely described in literature.

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34

Mutignani, Massimiliano, Lorenzo Dioscoridi, Angelo Italia, et al. "Thulium laser to manage a difficult biliary lithiasis: a first case report." Endoscopy 52, no. 03 (2019): E112—E113. http://dx.doi.org/10.1055/a-0983-8278.

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35

Busarcevic, Ivan. "Duodenal diverticulum associated with pancreatitis - a case report." Medical review 72, no. 3-4 (2019): 115–18. http://dx.doi.org/10.2298/mpns1904115b.

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Introduction. Acute pancreatitis is usually caused by biliary lithiasis and alcohol consumption. Pancreatitis in the elderly is a problem of increasing occurrence. Anatomic abnormalities may represent a less frequent, but important etiological factor. The duodenal diverticula rarely produce signs of inflammation, obstruction, hemorrhage or perforation. In some cases secondary biliary-pancreatic complications are found when a diverticulum originates from the papilla of Vater. Case Report. This case report describes a patient diagnosed with duodenal diverticulum who developed a framework of abdo

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36

Vecchi, M. L. "Prevalence of biliary lithiasis in a Sicilian population of chronic renal failure patients." Nephrology Dialysis Transplantation 18, no. 11 (2003): 2321–24. http://dx.doi.org/10.1093/ndt/gfg386.

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37

Caruso, Settimo, Roberto Miraglia, Marco Spada, Angelo Luca, and Bruno Gridelli. "Biliary dilatation secondary to lithiasis in a child affected by Langerhans' cell histiocytosis." Journal of Clinical Ultrasound 37, no. 6 (2009): 366–68. http://dx.doi.org/10.1002/jcu.20574.

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38

Grande, Giuseppe, Silvia Cocca, Helga Bertani, et al. "Dilation assisted stone extraction for complex biliary lithiasis: Technical aspects and practical principles." World Journal of Gastrointestinal Endoscopy 13, no. 2 (2021): 33–44. http://dx.doi.org/10.4253/wjge.v13.i2.33.

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39

Zhu, Yi, Jinhai Li, Minjie Xie, Jing Jin, and Jianying Lou. "Clinical application of laparoscopy combined with choledochoscopy in patients with bilioenteric anastomotic stricture with access via the jejunal loops." Journal of International Medical Research 49, no. 7 (2021): 030006052110345. http://dx.doi.org/10.1177/03000605211034542.

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Objective Bilioenteric anastomotic stricture is a serious complication following choledochojejunostomy. Some patients develop intrahepatic lithiasis and biliary tract infection without dilation of the intrahepatic bile duct. The present study was performed to investigate the safety and efficacy of laparoscopy combined with choledochoscopy in patients with bilioenteric anastomotic stricture with access via the jejunal loops. Methods The data of 10 patients (7 men and 3 women; mean age, 60.8 ± 9.7 years; age range, 51–76 years) with potential bilioenteric anastomotic stricture without dilation o

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40

Touzani, Soumaya, Abderrahim El Bouazzaoui, Fatima Bouyarmane, et al. "Factors Associated with Mortality in Severe Acute Cholangitis in a Moroccan Intensive Care Unit: A Retrospective Analysis of 140 Cases." Gastroenterology Research and Practice 2021 (January 27, 2021): 1–8. http://dx.doi.org/10.1155/2021/4583493.

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Background. Severe acute cholangitis is a life-threatening biliary infection, leading to organ dysfunction, septic shock, and naturally death. Mortality has dropped significantly in the past years through improving resuscitation and biliary drainage techniques. The aim of our study is to analyze our daily practice and the factors associated with mortality. Methods. A retrospective study including severe acute cholangitis patients admitted to our unit from January 2009 to December 2018. Variables analyzed (univariate then multivariate analysis) were age, sex, history, origin, evolution time, bi

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41

MONTALTO, G., M. SORESI, A. CARROCCIO, et al. "Prevalence of Biliary Lithiasis in the Elderly People of a Small Town in Sicily." Age and Ageing 21, no. 5 (1992): 338–42. http://dx.doi.org/10.1093/ageing/21.5.338.

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42

Sanada, Yukihiro, Naoya Yamada, Masanobu Taguchi, et al. "Recurrent Cholangitis by Biliary Stasis Due to Non-Obstructive Afferent Loop Syndrome After Pylorus-Preserving Pancreatoduodenectomy: Report of a Case." International Surgery 99, no. 4 (2014): 426–31. http://dx.doi.org/10.9738/intsurg-d-13-00243.1.

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Abstract We report a 71-year-old man who had undergone pylorus-preserving pancreatoduodenectomy (PPPD) using PPPD-IV reconstruction for cholangiocarcinoma. For 6 years thereafter, he had suffered recurrent cholangitis, and also a right liver abscess (S5/8), which required percutaneous drainage at 9 years after PPPD. At 16 years after PPPD, he had been admitted to the other hospital because of acute purulent cholangitis. Although medical treatment resolved the cholangitis, the patient was referred to our hospital because of dilatation of the intrahepatic biliary duct (B2). Peroral double-balloo

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43

Tarantino, Giuseppe, Paolo Magistri, Roberto Ballarin, Giacomo Assirati, Antonio Di Cataldo, and Fabrizio Di Benedetto. "Surgery in biliary lithiasis: from the traditional “open” approach to laparoscopy and the “rendezvous” technique." Hepatobiliary & Pancreatic Diseases International 16, no. 6 (2017): 595–601. http://dx.doi.org/10.1016/s1499-3872(17)60031-6.

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44

Coca, E., B. Ribas, G. Trigueros, et al. "A Method for Quick Determination of Bile Acids in Bile of Patients with Biliary Lithiasis." Journal of Liquid Chromatography 17, no. 6 (1994): 1349–63. http://dx.doi.org/10.1080/10826079408013768.

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45

Dutta, Debabrata, and Manab Jyoti Gohain. "ALTERATION OF LIVER FUNCTION TESTS IN EXTRAHEPATIC BILIARY LITHIASIS: EXPERIENCE IN A TEACHING HOSPITAL OF ASSAM." Journal of Evidence Based Medicine and Healthcare 3, no. 38 (2016): 1885–88. http://dx.doi.org/10.18410/jebmh/2016/419.

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46

Zhou, Di, Yong Zhang, Wei Gong, et al. "Are Helicobacter Pylori and Other Helicobacter Species Infection Associated with Human Biliary Lithiasis? A Meta-Analysis." PLoS ONE 6, no. 11 (2011): e27390. http://dx.doi.org/10.1371/journal.pone.0027390.

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47

Frauenfelder, Giulia, Annamaria Maraziti, Vincenzo Ciccone, et al. "Computed Tomography Imaging in Lemmel Syndrome: A Report of Two Cases." Journal of Clinical Imaging Science 9 (May 24, 2019): 23. http://dx.doi.org/10.25259/jcis-17-2019.

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Lemmel syndrome is a rare and misdiagnosed cause of acute abdominal pain due to a juxtapapillary duodenal diverticulum causing mechanical obstruction of the common bile duct. Frequently, patients suffering from Lemmel syndrome have a history of recurrent access to the emergency room for acute abdominal pain referable to a biliopancreatic obstruction, in the absence of lithiasis nuclei or solid lesions at radiological examinations. Ultrasonography (US) may be helpful in evaluation of upstream dilatation of extra-/intra-hepatic biliary duct, but computed tomography (CT) is the reference imaging

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48

Ormanji, Milene S., Fernanda G. Rodrigues, and Ita P. Heilberg. "Dietary Recommendations for Bariatric Patients to Prevent Kidney Stone Formation." Nutrients 12, no. 5 (2020): 1442. http://dx.doi.org/10.3390/nu12051442.

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Bariatric surgery (BS) is one of the most common and efficient surgical procedures for sustained weight loss but is associated with long-term complications such as nutritional deficiencies, biliary lithiasis, disturbances in bone and mineral metabolism and an increased risk of nephrolithiasis, attributed to urinary metabolic changes resultant from low urinary volume, hypocitraturia and hyperoxaluria. The underlying mechanisms responsible for hyperoxaluria, the most common among all metabolic disturbances, may comprise increased intestinal oxalate absorption consequent to decreased calcium inta

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49

Pereira, Pedro, Armando Peixoto, Patrícia Andrade, and Guilherme Macedo. "Peroral Cholangiopancreatoscopy with the SpyGlass® System: What do we Know 10 Years Later." Journal of Gastrointestinal and Liver Diseases 26, no. 2 (2017): 165–70. http://dx.doi.org/10.15403/jgld.2014.1121.262.cho.

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Smaller endoscopes and catheters have been developed that permit direct visualization of the bile and pancreatic ducts (cholangioscopy and pancreatoscopy, respectively). These endoscopes and catheters are passed through the working channel of a standard therapeutic duodenoscope during endoscopic retrograde cholangiopancreatography (ERCP). The SpyGlass Direct Visualization System (Boston Scientific Corp, Natick, MA, USA) is currently the most widely used and studied device. Cholangioscopy with intraductal lithotripsy has become an established modality in the treatment of difficult biliary lithi

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50

Severini, Aldo, Guido Cozzi, Monica Salvetti, Vincenzo Mazzaferro, and Roberto Doci. "Management of Complications from Hepatobiliary Surgery Using the Percutaneous Trans Jejunal Approach." Tumori Journal 83, no. 6 (1997): 912–17. http://dx.doi.org/10.1177/030089169708300608.

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Purpose The work was aimed at presenting the indications, techniques and results of the percutaneous transjejunal approach to the biliary tree in patients with hepatobiliary complications due to surgery. Patients and methods Ten patients, 7 males and 3 females, mean age 50 years (range, 10–62) with hepatico-jejunostomy, who developed cholangitis together with jaundice or bile leakage, underwent this procedure, performed through the anastomotic loop that was not surgically anchored to the abdominal wall in all cases but one. The transjejunal approach was chosen because of non-dilated bile ducts

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