Hepaticojejunostomy

Diagram of a hepaticojejunostomy

Pronunciation
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Specialty
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Complications
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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:

• Biliary atresia
• Choledochal cyst
• Bile duct injury
• Cholangiocarcinoma
• Pancreatic cancer

Procedure

The procedure involves the following steps:

1. The patient is placed under general anesthesia.
2. An incision is made in the abdomen to access the liver and biliary tree.
3. The hepatic duct is identified and isolated.
4. A loop of the jejunum is brought up to the hepatic duct.
5. 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:

• Anastomotic leak
• Bile leak
• Infection
• Stricture formation
• Cholangitis

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.

See also

• Biliary reconstruction
• Roux-en-Y anastomosis

External links

• Hepaticojejunostomy on WikiMD