Hepaticojejunostomy: Difference between revisions

Revision as of 20:43, 30 December 2024

Diagram of a hepaticojejunostomy

Pronunciation
Other names
Specialty
Uses
Complications
Approach
Types
Recovery time
Other options
Frequency

Hepaticojejunostomy is a surgical procedure that involves creating an anastomosis between the hepatic duct and the jejunum. This procedure is typically performed to restore bile flow in cases where the bile duct is obstructed or damaged.

Indications

Hepaticojejunostomy is indicated in several conditions, including:

Procedure

The procedure involves the following steps:

The patient is placed under general anesthesia.
An incision is made in the abdomen to access the liver and biliary tree.
The hepatic duct is identified and isolated.
A loop of the jejunum is brought up to the hepatic duct.
An anastomosis is created between the hepatic duct and the jejunum, allowing bile to drain directly into the small intestine.

Complications

Potential complications of hepaticojejunostomy include:

Postoperative Care

Postoperative care involves monitoring for complications, managing pain, and ensuring proper nutrition. Patients may require antibiotics to prevent infection and analgesics for pain management.

References

External links

Hepaticojejunostomy on WikiMD

@@ Line 1: / Line 1: @@
-'''Hepaticojejunostomy''' is a surgical procedure that involves the anastomosis, or connection, of the [[hepatic duct]] to the [[jejunum]], a part of the [[small intestine]]. This procedure is typically performed to bypass an obstruction in the [[biliary tract]], which could be due to various causes such as [[gallstones]], [[biliary atresia]], or [[cancer]].
-==Procedure==
+{{Infobox medical procedure
-The hepaticojejunostomy procedure begins with the surgeon making an incision in the abdomen to access the liver and small intestine. The surgeon then identifies the hepatic duct, which is the tube that carries bile from the liver to the gallbladder. The surgeon then creates a new pathway for bile to flow from the liver to the small intestine by connecting the hepatic duct to the jejunum. This is done using sutures or staples. The incision is then closed and the patient is taken to recovery.
+| Name           = Hepaticojejunostomy
+| Image          = <!-- Image removed -->
+| Caption        = Diagram of a hepaticojejunostomy
+| ICD10          = K91.89
+| ICD9           = 51.37
+| MeshID         = D006501
+}}
+'''Hepaticojejunostomy''' is a surgical procedure that involves creating an anastomosis between the [[hepatic duct]] and the [[jejunum]]. This procedure is typically performed to restore bile flow in cases where the [[bile duct]] is obstructed or damaged.
 ==Indications==
-Hepaticojejunostomy is indicated in cases where there is an obstruction in the biliary tract that prevents bile from flowing from the liver to the small intestine. This could be due to gallstones, biliary atresia, cancer, or other conditions. Hepaticojejunostomy can also be performed as part of a [[liver transplant]] procedure.
+Hepaticojejunostomy is indicated in several conditions, including:
+* [[Biliary atresia]]
+* [[Choledochal cyst]]
+* [[Bile duct injury]]
+* [[Cholangiocarcinoma]]
+* [[Pancreatic cancer]]
+==Procedure==
+The procedure involves the following steps:
+# The patient is placed under [[general anesthesia]].
+# An incision is made in the abdomen to access the [[liver]] and [[biliary tree]].
+# The [[hepatic duct]] is identified and isolated.
+# A loop of the [[jejunum]] is brought up to the hepatic duct.
+# An anastomosis is created between the hepatic duct and the jejunum, allowing bile to drain directly into the [[small intestine]].
 ==Complications==
-As with any surgical procedure, hepaticojejunostomy carries some risks. These include infection, bleeding, and complications related to anesthesia. There is also a risk of bile leakage, which can lead to inflammation and infection. In some cases, the anastomosis may become blocked or narrowed, requiring further treatment.
+Potential complications of hepaticojejunostomy include:
+* [[Anastomotic leak]]
+* [[Bile leak]]
+* [[Infection]]
+* [[Stricture]] formation
+* [[Cholangitis]]
 ==Postoperative Care==
-After the procedure, patients are typically monitored in the hospital for several days. Pain management and prevention of infection are important aspects of postoperative care. Patients may also require dietary modifications to facilitate bile flow and digestion.
+Postoperative care involves monitoring for complications, managing pain, and ensuring proper nutrition. Patients may require [[antibiotics]] to prevent infection and [[analgesics]] for pain management.
-[[File:Hepaticojejunostomy.jpg|thumb|right|Hepaticojejunostomy procedure]]
+==See also==
+* [[Biliary reconstruction]]
+* [[Roux-en-Y anastomosis]]
-==See Also==
+==References==
-* [[Biliary tract]]
+{{Reflist}}
-* [[Hepatic duct]]
-* [[Jejunum]]
+==External links==
-* [[Liver transplant]]
+* [https://www.wikimd.com/wiki/Hepaticojejunostomy Hepaticojejunostomy on WikiMD]
 [[Category:Surgical procedures]]
-[[Category:Digestive system procedures]]
 [[Category:Hepatology]]
+[[Category:Gastroenterology]]
-{{medicine-stub}}