• We are sorry, but NCBI web applications do not support your browser and may not function properly. More information
Logo of annsurgLink to Publisher's site
Ann Surg. Aug 1982; 196(2): 149–152.
PMCID: PMC1352469

Long-term results of Roux-en-Y hepaticojejunostomy and hepaticojejunoduodenostomy.


The results of the long-term follow-up of 202 patients with Roux-en-Y hepaticojejunostomy (Roux-en-Y HJ) and 19 with hepaticojejunoduodenostomy (HJD) are reported. The mortality, morbidity, and the incidence of postoperative anastomotic stenosis were comparable in both groups. One hundred forty patients with Roux-en-Y HJ and 19 with HJD were followed with barium meal and endoscopy. An incidence of 5% postoperative duodenal ulcer was noted in the first group, while no ulcer was seen in the patients with HJD. Preoperative and postoperative gastric acid secretion (basal acid secretion and maximal acid secretion) and serum gastrin levels (basal and after protein meal) were measured in 25 cases with Roux-en-Y HJ and 19 with HJD. The serum gastrin levels were similar initially and remained unchanged after surgery in both groups. However, the mean levels of basal and maximal acid output, which was similar before surgery in both groups, increased significantly only in patients who had Roux-en-Y HJ (p less than 0.001). In conclusion, HJD should be adopted as the preferred type of anastomosis in patients with benign pathology and long-life expectancy.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (632K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Bismuth H, Franco D, Corlette MB, Hepp J. Long term results of Roux-en-Y hepaticojejunostomy. Surg Gynecol Obstet. 1978 Feb;146(2):161–167. [PubMed]
  • Lane CE, Sawyers JL, Riddle DH, Scott HW., Jr Long-term results of Roux-en-Y hepatocholangiojejunostomy. Ann Surg. 1973 Jun;177(6):714–722. [PMC free article] [PubMed]
  • KEHNE JH, CAMPBELL RE. Choledochojejunostomy en Roux Y; an experimental study. AMA Arch Surg. 1956 Jul;73(1):12–18. [PubMed]
  • Breen JJ, Molina E, Ritchie WP. Effect of common bile-duct transplantation on gastric acid secretion in the dog. Br J Surg. 1968 Apr;55(4):282–284. [PubMed]
  • McArthur MS, Longmire WP., Jr Peptic ulcer disease after choledochojejunostomy. Am J Surg. 1971 Aug;122(2):155–158. [PubMed]
  • MENGUY RB. Mechanism of gastric hypersecretion in dogs with exclusion of bile or pancreatic juice from the small intestine. Surg Forum. 1962;13:300–302. [PubMed]
  • Moreno-González E, Sanmartin JH, Azcoita MM, Serna AB. Reconstruction of the biliary tract using biliary-duodenal interposition of a defunctionalized jejunal limb. Surg Gynecol Obstet. 1980 May;150(5):678–682. [PubMed]
  • Wheeler ES, Longmire WP., Jr Repair of benign stricture of the common bile duct by jejunal interposition choledochoduodenostomy. Surg Gynecol Obstet. 1978 Feb;146(2):260–262. [PubMed]
  • Way LW, Dunphy JE. Biliary stricture. Am J Surg. 1972 Aug;124(2):287–295. [PubMed]
  • BOWERS RM. MORBID CONDITIONS FOLLOWING CHOLEDOCHOJEJUNOSTOMY. Ann Surg. 1964 Mar;159:424–427. [PMC free article] [PubMed]
  • Stefanini P, Carboni M, Patrassi N, Basoli A, de Bernardinis G, Negro P. Roux-en-Y hepaticojejunostomy: a reappraisal of its indications and results. Ann Surg. 1975 Feb;181(2):213–219. [PMC free article] [PubMed]

Articles from Annals of Surgery are provided here courtesy of Lippincott, Williams, and Wilkins


Related citations in PubMed

See reviews...See all...

Cited by other articles in PMC

See all...


  • MedGen
    Related information in MedGen
  • PubMed
    PubMed citations for these articles

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...