Biliodigestive anastomosis. Indications, complications and interdisciplinary management

Goessmann, H. and Lang, S. A. and Fichtner-Feigl, S. and Scherer, M. N. and Schlitt, H. J. and Stroszczynski, C. and Schreyer, A. G. and Schnitzbauer, A. A. (2012) Biliodigestive anastomosis. Indications, complications and interdisciplinary management. CHIRURG, 83 (12). pp. 1097-1106. ISSN 0009-4722, 1433-0385

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Abstract

Techniques for biliodigestive anastomoses are a frequent indication in primary surgical interventions. Moreover, they are required to manage secondary complications of hepatobiliary surgery. Evidence for the management of complications following biliodigestive anastomoses is low. Biliodigestive anastomoses can be performed as hepaticojejunostomy, hepatojejunostomy/portoenterostomy and hepaticoduodenostomy using running or single stitch suture techniques. Complication management in the hands of experienced hepatopancreatobiliary surgeons should consider a time delay to the primary operation and an interdisciplinary surgical and/or endoscopic or radiologic interventional approach. The therapy may be protracted and requires repeated critical reflection of the particular complication.

Item Type: Article
Uncontrolled Keywords: DONOR LIVER-TRANSPLANTATION; EN-Y HEPATICOJEJUNOSTOMY; BILE-DUCT INJURIES; NONCORRECTABLE BILIARY ATRESIA; HEPATIC PORTOENTEROSTOMY; FOLLOW-UP; RECONSTRUCTION; HEPATICODUODENOSTOMY; RISK; STRICTURES; Biliodigestive anastomosis; Hepaticjejunostomy; Hepaticojejunostomy; Percutaneous transhepatic cholangiography and biliary drainage; Anastomotic stenosis; Bile leakage
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Chirurgie
Medicine > Lehrstuhl für Röntgendiagnostik
Depositing User: Dr. Gernot Deinzer
Date Deposited: 04 May 2020 05:15
Last Modified: 04 May 2020 05:15
URI: https://pred.uni-regensburg.de/id/eprint/17660

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