Operative Management of Bile Duct Injury in the Presence of Prior Roux-en-Y

  • Mihir M. Shah
  • Alisha Gupta
  • Juan M. SarmientoEmail author


With the proliferation of bariatric surgery, there is a need to learn “the new anatomy” in these patients and the possible scenarios surgeons could face when foregut surgery is indicated. In particular, some cases of bile duct injuries after laparoscopic cholecystectomy (and any biliary reconstruction) could occur in this population; thus a whole armamentarium of techniques are needed accordingly to manage this problem. Although it is important to know the bariatric technique used previously in each patient beforehand, this chapter presents the current surgical techniques that are critical to know in this setting.


Bile duct injury Roux-en-Y Hepaticoduodenostomy Hepaticojejunostomy 


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Copyright information

© Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) 2020

Authors and Affiliations

  • Mihir M. Shah
    • 1
  • Alisha Gupta
    • 2
  • Juan M. Sarmiento
    • 3
    • 4
    Email author
  1. 1.Assistant Professor of Surgery, Winship Cancer Institute, Division of Surgical OncologyDepartment of Surgery, Emory University School of MedicineAtlantaUSA
  2. 2.Department of Internal MedicineAllegheny General HospitalPittsburghUSA
  3. 3.Department of SurgeryEmory University School of MedicineAtlantaUSA
  4. 4.Division of Gastrointestinal and General SurgeryEmory UniversityAtlantaUSA

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