Cholecystenterostomy

Cholecystenterostomy is a surgical procedure that creates a connection between the gallbladder and the small intestine. This procedure is typically performed to alleviate symptoms associated with gallstones or other gallbladder diseases when other treatments are not effective or suitable.

Indications

Cholecystenterostomy is indicated in patients with recurrent biliary colic or cholecystitis who are not suitable candidates for cholecystectomy. This includes patients with significant comorbidities, poor surgical risk, or those who have previously undergone extensive abdominal surgery.

Procedure

During a cholecystenterostomy, the surgeon creates an opening in the gallbladder and connects it to an opening in the small intestine. This allows bile to flow directly into the small intestine, bypassing the common bile duct. The procedure can be performed using open surgery or minimally invasive techniques such as laparoscopy or robotic surgery.

Risks and Complications

As with any surgical procedure, cholecystenterostomy carries potential risks and complications. These may include infection, bleeding, injury to surrounding organs, and anesthesia-related complications. Additionally, there is a risk of bile leak, which can lead to peritonitis if not promptly managed.

Postoperative Care

Following the procedure, patients are typically monitored in the hospital for a few days. Pain management, prevention of infection, and monitoring for complications are key aspects of postoperative care. Patients are usually advised to follow a low-fat diet to minimize the workload on the gallbladder.

See Also

• Cholecystectomy
• Gallstones
• Biliary colic
• Cholecystitis