PATHOLOGY

PATHOLOGY MCQ

BILIARY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A 52-year-old woman with a history of a distal gastrectomy and Roux-en-Y gastrojejunostomy presents with biliary sphincter of Oddi dysfunction. You have elected to perform a transduodenal sphincteroplasty. Which of the following is typically a component of this procedure?
A
Transverse duodenotomy at the level of the duodenal bulb
B
Division of the pancreatic sphincter
C
Suturing the wall of the common bile duct to the duodenal mucosa
D
Roux-en-Y duodenojejunostomy for duodenal closure
E
Sequential dilation of the sphincter with Bakes dilators
Explanation: 

Detailed explanation-1: -Cholecystojejunostomy is used to treat select cases of bile duct obstruction, formally known as cholestasis. This occurs when bile cannot pass from the liver to the gallbladder and on to the intestines. Cholestasis can cause problems with digestion.

Detailed explanation-2: -Choledochojejunostomy is a surgical procedure to connect the common bile duct to the jejunum, the middle part of the small intestine in between the duodenum and the ileum. Purpose/Benefits. The procedure is used to allow the bile to drain. It may be curative or palliative.

There is 1 question to complete.