Şahin, Semra TutcuGüler, YılmazTireli, Mustafa2026-01-242026-01-2420252587-0319https://search.trdizin.gov.tr/tr/yayin/detay/1331829https://doi.org/10.30565/medalanya.1530018https://hdl.handle.net/20.500.12868/3755Aim: Conventional Roux-Y (C-RY) hepaticojejunostomy has been used for bilienteric diversion for many years. Following this operation, postoperative ascending cholangitis may occur due to Roux anus stasis. To avoid this problem, an alternative technique called uncut Roux-Y (U-RY) anastomosis has been proposed. The aim of this study was to compare the effect of anastomosis type on postoperative cholangitis in patients undergoing C-RY and U-RY hepaticojejunostomy for bilioenteric diversion. Methods: The medical records of patients who underwent hepaticojejunostomy at Celal Bayar University Department of General Surgery and Izmir Tepecik Training Hospital General Surgery Clinic between January 2000 and January 2018 were retrospectively reviewed. Patients who underwent hepaticojejunostomy were divided into 2 groups as U-RY (n=18) and C-RY (n=17) according to anastomosis type. The association of both methods with the development of postoperative cholangitis was analyzed. The limit of statistical significance was accepted as p<0.05. Results: Thirty-five patients underwent hepaticojejunostomy. Twenty of the patients were female and fifteen were male. Eighteen patients underwent U-RY hepaticojejunostomy (twelve women and six men) and seventeen patients underwent C-RY hepaticojejunostomy (nine men and eight women). The mean age of the patients was 53.2 years (range: 22-73). Fourteen patients had malignant lesions. The diagnoses of malignant patients were gallbladder carcinoma and cholangiocarcinoma. Resectable malignant patients underwent anastomosis after resection. Irresectable patients underwent only biliary enteric bypass procedures. Twenty-one patients had benign lesions. The diagnoses of benign patients were bile duct stricture, intraoperative bile duct injury, occlusion choledochoduodenostomy and choledochal cyst. Different complications developed in seven cases. Postoperatively, two of the malignant cases died due to hepatic failure. Postoperative cholangitis developed in two patients with C-RY ans during the follow-up period. None of the patients with U-RY developed cholangitis. There was no statistically significant difference in the development of cholangitis between the two anastomosis techniques. (p>0,05) Conclusions: The U-RY ans technique is an easy surgical procedure for biliaryenteric diversion. This procedure may be useful to prevent Roux stasis syndrome and postoperative cholangitis. Multicenter clinical trials with large patient series are needed to reach reliable results.eninfo:eu-repo/semantics/openAccessUncut Roux-YConventional Roux-YHepaticojejunostomyArticle10.30565/medalanya.1530018921081131331829