‘O’ Configuration of Biliary-Enteric Drainage: A Preventable
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Roux-en-Y reconstruction is the preferred method of biliary reconstruction for benign conditions of the biliary tract .Although this is a safe procedure, there can be a few complications associated with it .Complications pertaining to the biliary system like recurrent infections, anastomotic stricture, and calculi are well described in the literature; however, surgical errors in the Roux limb construction are not widely reported .The present report describes misconstruction of the Roux limb after biliary-enteric anastomosis......

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4425795/
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