Citation, DOI, disclosures and article data
Citation:
Weerakkody Y, Gilcrease-Garcia B, Kusel K, Hutson loop. Reference article, Radiopaedia.org (Accessed on 11 Dec 2024) https://doi.org/10.53347/rID-18103
A Hutson loop, also known as an access loop, is variation of the Roux-en-Y choledochojejunostomy whereby a longer segment of jejunum is used to construct the hepatobiliary limb, and the upstream end is tacked to the anterior abdominal wall ("stomatization") 4.
The goal is to simplify future endoscopic access to the choledochojejunostomy by way of percutaneous access through the abdominal wall. It may be used in the setting of anticipated post-operative perianastomic stricturing (i.e. sclerosing cholangitis) or recurrent hepatolithiasis.
History and etymology
The technique was first described by Duane Hutson in 1984 in the management of sclerosing cholangitis with recurrent stricturing 4.
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1. Cameron DC, Frazer CK. The Hutson loop and prosthesis: clinical uses in hepato-biliary intervention. Australas Radiol. 1995;39 (2): 159-65. - Pubmed citation
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2. Catalano OA, Sahani DV, Forcione DG et-al. Biliary infections: spectrum of imaging findings and management. Radiographics. 2009;29 (7): 2059-80. doi:10.1148/rg.297095051 - Pubmed citation
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3. Heffernan EJ, Geoghegan T, Munk PL et-al. Recurrent pyogenic cholangitis: from imaging to intervention. AJR Am J Roentgenol. 2009;192 (1): W28-35. doi:10.2214/AJR.08.1104 - Pubmed citation
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4. Hutson DG, Russell E, Schiff E, Levi JJ, Jeffers L, Zeppa R. Balloon dilatation of biliary strictures through a choledochojejuno-cutaneous fistula. (1984) Annals of surgery. 199 (6): 637-47. doi:10.1097/00000658-198406000-00002 - Pubmed
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