Diagnosis and treatment of biliary-related complications after biliary-enteric anastomosis

Hepatobiliary-jejunal Roux-en-Y anastomosis (biliary-enteric anastomosis, BEA) is a widely utilized reconstructive procedure for restoring bile flow in the treatment of various benign and malignant biliary diseases. However, the incidence of biliary-related complications (BRCs) remains relatively hi...

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Main Author: SHU Baokun, LIU Feng, CHEN Peng
Format: Article
Language:zho
Published: The Editorial Department of Chinese Journal of Clinical Research 2025-05-01
Series:Zhongguo linchuang yanjiu
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Online Access:http://zglcyj.ijournals.cn/zglcyj/ch/reader/create_pdf.aspx?file_no=20250512
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author SHU Baokun, LIU Feng, CHEN Peng
author_facet SHU Baokun, LIU Feng, CHEN Peng
author_sort SHU Baokun, LIU Feng, CHEN Peng
collection DOAJ
description Hepatobiliary-jejunal Roux-en-Y anastomosis (biliary-enteric anastomosis, BEA) is a widely utilized reconstructive procedure for restoring bile flow in the treatment of various benign and malignant biliary diseases. However, the incidence of biliary-related complications (BRCs) remains relatively high, with reported rates in the literature ranging from 8% to 27%. Common BRCs include biliary bleeding, postoperative bile leakage, biliary tract infection, postoperative anastomotic stricture (PAS) , intra- and extrahepatic bile duct stones at the porta hepatis, and biliary liver abscesses. The factors influencing the occurrence of BRCs are numerous and complex, requiring comprehensive consideration from multiple perspectives. Research on bile duct reconstruction continues to evolve, with an emphasis on enhancing the outcomes of BEA and reducing the incidence of BRCs in both the near and distant future. This article reviews the relevant literature from recent years and summarizes the pathogenesis, current treatment status, and risk factors associated with postoperative BRCs after BEA, aiming to provide a reference for the prevention and management of these complications during the perioperative period of BEA.
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publisher The Editorial Department of Chinese Journal of Clinical Research
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spelling doaj-art-7b0fd2b8fa7441b1aade6c62e69953d92025-08-20T03:47:47ZzhoThe Editorial Department of Chinese Journal of Clinical ResearchZhongguo linchuang yanjiu1674-81822025-05-0138571071410.13429/j.cnki.cjcr.2025.05.012Diagnosis and treatment of biliary-related complications after biliary-enteric anastomosisSHU Baokun, LIU Feng, CHEN Peng0Department of Hepatobiliary and Pancreatic Surgery, The Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan 650101, ChinaHepatobiliary-jejunal Roux-en-Y anastomosis (biliary-enteric anastomosis, BEA) is a widely utilized reconstructive procedure for restoring bile flow in the treatment of various benign and malignant biliary diseases. However, the incidence of biliary-related complications (BRCs) remains relatively high, with reported rates in the literature ranging from 8% to 27%. Common BRCs include biliary bleeding, postoperative bile leakage, biliary tract infection, postoperative anastomotic stricture (PAS) , intra- and extrahepatic bile duct stones at the porta hepatis, and biliary liver abscesses. The factors influencing the occurrence of BRCs are numerous and complex, requiring comprehensive consideration from multiple perspectives. Research on bile duct reconstruction continues to evolve, with an emphasis on enhancing the outcomes of BEA and reducing the incidence of BRCs in both the near and distant future. This article reviews the relevant literature from recent years and summarizes the pathogenesis, current treatment status, and risk factors associated with postoperative BRCs after BEA, aiming to provide a reference for the prevention and management of these complications during the perioperative period of BEA. http://zglcyj.ijournals.cn/zglcyj/ch/reader/create_pdf.aspx?file_no=20250512hepaticojejunostomybiliary.related complicationsbiliary bleedingpostoperative bile leakagebiliary infectionanas-tomotic stricture
spellingShingle SHU Baokun, LIU Feng, CHEN Peng
Diagnosis and treatment of biliary-related complications after biliary-enteric anastomosis
Zhongguo linchuang yanjiu
hepaticojejunostomy
biliary.related complications
biliary bleeding
postoperative bile leakage
biliary infection
anas-tomotic stricture
title Diagnosis and treatment of biliary-related complications after biliary-enteric anastomosis
title_full Diagnosis and treatment of biliary-related complications after biliary-enteric anastomosis
title_fullStr Diagnosis and treatment of biliary-related complications after biliary-enteric anastomosis
title_full_unstemmed Diagnosis and treatment of biliary-related complications after biliary-enteric anastomosis
title_short Diagnosis and treatment of biliary-related complications after biliary-enteric anastomosis
title_sort diagnosis and treatment of biliary related complications after biliary enteric anastomosis
topic hepaticojejunostomy
biliary.related complications
biliary bleeding
postoperative bile leakage
biliary infection
anas-tomotic stricture
url http://zglcyj.ijournals.cn/zglcyj/ch/reader/create_pdf.aspx?file_no=20250512
work_keys_str_mv AT shubaokunliufengchenpeng diagnosisandtreatmentofbiliaryrelatedcomplicationsafterbiliaryentericanastomosis