About Cholecystojejunostomy
Key Highlights
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Effectively relieves obstructive jaundice and its debilitating symptoms like severe itching.Restores bile flow to the intestines, aiding in digestion and nutrient absorption.Primarily a palliative procedure that significantly improves quality of life for patients with inoperable cancers.Can be performed using open or, in suitable cases, minimally invasive laparoscopic approaches.Provides a durable solution for bile drainage when other endoscopic or percutaneous methods are not feasible or have failed.
Who is this surgery for?
- Malignant obstruction of the common bile duct (e.g., from pancreatic head cancer, cholangiocarcinoma) where curative resection is not possible.
- Benign biliary strictures that are complex, recurrent, or not amenable to endoscopic stenting.
- Chronic pancreatitis leading to a fibrotic and blocked distal common bile duct.
- As a bypass procedure during exploratory surgery for unresectable periampullary tumors.
- Traumatic injury to the bile ducts where primary repair is not viable.
How to prepare
- Comprehensive pre-operative evaluation including blood tests, liver function tests, and imaging (CT scan/MRI cholangiography).
- Management of jaundice may involve preoperative biliary drainage via ERCP or PTBD in some patients.
- Nutritional assessment and optimization, as patients are often malnourished.
- Correction of coagulation abnormalities and electrolyte imbalances.
- Pre-operative counseling regarding the palliative nature, risks, benefits, and recovery expectations of the surgery.
- Fasting for 8-12 hours before the procedure as per standard surgical protocol.
Risks & possible complications
- Surgical site infection, bleeding, or hematoma formation.
- Leakage from the anastomosis (connection site), which can lead to bile peritonitis.
- Anastomotic stricture (narrowing) in the long term, potentially causing recurrent jaundice.
- Risk of cholangitis (bile duct infection).
- Standard risks of major abdominal surgery and general anesthesia, including deep vein thrombosis, pneumonia, and cardiac events.
- Bowel obstruction due to adhesions or internal herniation.
Recovery & hospital stay
- Initial hospital stay involves monitoring in a recovery unit, with pain management and intravenous fluids.
- Oral intake is gradually resumed, starting with clear liquids and advancing to a soft diet as bowel function returns.
- Early mobilization is encouraged to prevent complications like blood clots and pneumonia.
- Drains, if placed near the surgical site, are monitored and removed before discharge.
- Patients receive detailed instructions on wound care, signs of infection, and activity restrictions.
- Follow-up appointments are scheduled to monitor liver function, nutritional status, and overall recovery.
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Typical hospital stay: 5-10 days
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Expected recovery time: 4-6 weeks
Frequently Asked Questions
If you are considering cholecystojejunostomy in Turkey, these questions and answers can help you make a confident, informed decision.
Top-rated hospitals in Turkey with surgical gastroenterology departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform cholecystojejunostomy. MediFyr helps you compare surgical gastroenterologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for cholecystojejunostomy compare across other countries where we have data.
Dr. surendran r provided exceptional care...
Dr. surendran r provided exceptional care for my surgical gastroenterology condition. The treatment was personalized and effective.