Sutures and Wound Repair/ General Surgery (ABSA) Practice Test

What is a Roux en Y procedure commonly used for regarding common duct repair?

1. Choledochoduodenostomy

2. Cholecystectomy

3. Choledocojejunostomy

4. Laparoscopic banding

The correct answer is: Choledocojejunostomy

The Roux-en-Y procedure is primarily utilized for creating an anastomosis between the common bile duct and the jejunum, which is a part of the small intestine. This surgical technique is especially relevant in cases where direct anastomosis between the common bile duct and the duodenum is not feasible, often due to strictures, trauma, or other obstructive pathologies. In the context of common duct repair, choledocojejunostomy is the specific application of the Roux-en-Y technique. It establishes a new route for bile to flow from the common bile duct into the jejunum, bypassing any damaged or obstructed segments. This approach helps ensure that bile can be adequately drained into the intestines, facilitating digestion and preventing complications such as cholangitis. While other procedures listed, like choledochoduodenostomy and cholecystectomy, involve aspects of bile duct management or gallbladder removal, they do not specifically employ the Roux-en-Y configuration to address common duct issues. Laparoscopic banding, on the other hand, is unrelated to the biliary system and pertains to weight loss surgery. Therefore, the choledocojejunostomy accurately reflects the correct application of the