Intrahepatic cholangiojejunostomy: a new simplified approach

Am J Surg. 1979 Apr;137(4):443-8. doi: 10.1016/0002-9610(79)90112-0.

Abstract

A simplified technic for performing intrahepatic cholangiojejunostomy has been described, which can be utilized to bypass proximal biliary tract obstruction where the usual methods of choledochoenteric decompression are not possible. This technic has been performed nine times in seven patients, with a mortality of 30 per cent. In all but the two patients who died of liver failure in the immediate postoperative period, jaundice and pruritus were relieved. There was one wound infection and one instance of stenosis of the anastomosis which responded to dilatation.

MeSH terms

  • Adult
  • Aged
  • Bile Duct Neoplasms / complications
  • Bile Duct Neoplasms / mortality
  • Bile Ducts, Intrahepatic / surgery*
  • Cholestasis / etiology
  • Cholestasis / surgery*
  • Female
  • Humans
  • Jejunum / surgery*
  • Male
  • Methods
  • Middle Aged