Roux-en-Y
Hepaticojejunostomy
What is Roux-en-Y Hepaticojejunostomy?
Roux-en-Y Hepaticojejunostomy is a specialized surgical procedure that connects the bile ducts directly to a portion of the small intestine (jejunum) to bypass blockages and restore proper bile flow. It is usually performed in cases where the bile ducts are damaged, narrowed, or obstructed due to conditions like strictures, injury, or tumors. This surgery helps prevent complications such as jaundice, recurrent infections, and liver damage by re-establishing smooth drainage of bile.
When is it needed?
This surgery is advised in specific situations where bile flow is obstructed and cannot be managed by simpler interventions.
- Bile Duct Strictures- Narrowing of the bile ducts due to prior surgeries, gallstones, or inflammation.
- Bile Duct Injuries- Damage caused accidentally during gallbladder or liver surgeries.
- Tumor Related Obstructions- Blockages caused by cancers of the pancreas, gallbladder, or bile duct.
- Choledochal cysts- Congenital malformations of the bile duct requiring removal and reconstruction.
- Failed previous Biliary Procedures- When stenting or other minor procedures no longer provide effective drainage.
Process of Roux-en-Y Hepaticojejunostomy
Your journey begins with a detailed evaluation, including imaging tests to confirm the site and cause of bile duct obstruction.
Once surgery is scheduled, our team prepares you with pre-operative care and counseling.
During the procedure, the blocked or damaged portion of the bile duct is bypassed by attaching the bile ducts to the small intestine in a Roux-en-Y configuration.
After surgery, you will be monitored in a specialized unit, followed by recovery with nutritional guidance and follow-up check-ups to ensure healthy bile flow and liver function.
WHAT ARE
BENEFITS OF Roux-en-Y Hepaticojejunostomy
Restores Natural Bile Drainage
By creating a new passage from the liver to the small intestine, this surgery ensures bile flows smoothly, reducing the risk of jaundice and digestive problems.
prevents recurrent infections
Patients with bile duct blockages often suffer repeated infections. This surgery provides a long-term solution that helps minimize such recurring episodes.
protects liver
function
Proper bile drainage prevents bile buildup in the liver, thereby reducing long-term damage and preserving healthy liver tissue.
Improves quality of
life
With relief from jaundice, itching, and frequent hospitalizations, patients often experience significant improvement in overall well-being.
Durable long term solution
Compared to temporary stents or drainage methods, this reconstruction offers a more permanent fix, with results lasting many years.
Reuced risk of complications
By taking out the unhealthy portion, the risks of bleeding, infections, or bile duct blockage are minimized.
Why Trust Us for Roux-en-Y Hepaticojejunostomy
Combined expertise of two leading liver surgeons
Dr. Vikas Patel has been part of more than 600 liver transplants, while Dr. Dharmendra Dangi has been part of over 500 liver transplants and performed 500+ complex liver and HPB surgeries. Together, they bring unmatched skill to even the toughest cases.
Experience with high-risk and pediatric cases
From critically ill adults to children needing delicate surgery, our team has successfully managed some of the most challenging and rare liver conditions. Both doctors are trained to manage challenging cases, including liver failure in children, elderly patients, and blood group mismatches.
Proven results using advanced techniques
We use the latest surgical and medical methods including minimally invasive procedures to ensure safer operations, faster recovery, and long-term success. Dr. Dangi is one of the few surgeons in India performing midline donor hepatectomy, a safer way to remove part of the liver from a living donor.
Nationally recognized for excellence
Our surgeons are trusted across India for their leadership in liver surgery. Their work has been featured in medical journals, presented at national conferences, and acknowledged in health magazines such as Silicon India (Top 10 Liver Transplant Surgeons, 2025).
FAQ
Common Questions We Hear From Patients
Your concerns are valid. Here are expert answers to help you make confident decisions about your liver health.
Yes, it is a long-term solution designed to provide lasting relief, unlike temporary stents or external drainage methods.
Most patients stay in the hospital for 7–10 days, with full recovery taking 4–6 weeks depending on overall health.
Yes, it can be performed for obstructions caused by cancers of the pancreas, gallbladder, or bile ducts, often as part of a broader treatment plan.
Most patients return to a normal lifestyle, with some dietary adjustments recommended to support digestion and liver health.
Stenting is temporary and may require frequent replacements, while Roux-en-Y Hepaticojejunostomy offers a more permanent and durable solution.
Yes, once bile drainage is restored, jaundice and related symptoms usually resolve within days to weeks.
Take the First step to a
Expert Hands for Complex Biliary Care
Obstructions in the bile ducts can cause severe complications like jaundice, repeated infections, and progressive liver damage if left untreated. Roux-en-Y Hepaticojejunostomy provides a safe and effective long-term solution.
Talk to Ahmedabad’s Trusted Liver Experts
At our liver transplant and Hpb surgery care center, Dr. Vikas Patel and Dr. Dharmendra Dangi combine their expertise in advanced liver and HPB surgeries. Their experience in complex reconstructions ensures that patients receive the highest standards of treatment.