Multiple failed nissen fundoplication surgeries. Roux-en-Y reconstruction following partial or complete gastrectomy for stomach cancer.[4] Roux-en-Y hepaticojejunostomy used to treat (macroscopic) bile duct obstruction which may arise due to: a common bile duct tumour or hepatic duct tumour (e.g. resection of cholangiocarcinoma)[5] a bile duct injury (e.g. cholecystectomy, iatrogenic, trauma) an infection/inflammation (e.g. pancreatic pseudocyst) Roux-en-Y choledochojejunostomy – indications same as Roux-en-Y hepaticojejunostomy. Roux-en-Y pancreas transplant[6] Roux-en-Y pancreas reconstruction after blunt abdominal trauma.[7] Roux-en-Y hepaticojejunostomy or choledochojejunostomy with gastrojejunostomy as palliation for irresectable pancreatic head cancer.[8]