What is Hepaticojejunal anastomosis?

Hepaticocutaneous Jejunostomy Hepaticojejunostomy is constructed with the hope of providing adequate drainage to the biliary tract for unimpeded passage of newly formed intrahepatic stones. Intrahepatic strictures proximal to the hepaticojejunal anastomosis impede free drainage of bile and passage of stones.

What is a biliary reconstruction?

If the bile ducts are missing or damaged, biliary reconstruction can repair the damage. This condition usually occurs during an operation to remove the gallbladder (cholecystectomy) or because of a tumor or other congenital problem (biliary or choledochal cyst) where the bile ducts must be removed.

What is Hepaticojejunostomy stricture?

Benign anastomotic stricture after hepaticojejunostomy (HJ) is one of the serious complications of biliary surgery, which often presents with management difficulties. If left untreated, jaundice, cholangitis, or cirrhosis may develop. The incidence of anastomotic stricture following HJ has been reported as 4%–10% [1].

Why Hepaticojejunostomy is done?

Why is a hepaticojejunostomy performed? Normally, the hepatic duct joins the cystic duct (the duct that carries bile from the gallbladder) to form the common bile duct that drains the bile into the duodenum. When disease or injury in the biliary system obstructs the free flow of bile, digestion is impaired.

How long does it take to recover from bile duct surgery?

Most patients stay in hospital for around a week after the surgery and take 8-12 weeks to return to full normal activities. In complicated or recurrent bile duct stones the operation may include a drainage procedure replumbing the bile duct to improve the flow of bile into the bowel and prevent stones reforming.

How long does bile duct surgery take?

There are several types of surgeries to remove tumors in the bile ducts. On average, these surgeries take 3 to 5 hours.

What is an anastomotic stricture?

Definition and Overview. Gastrointestinal (GI) anastomotic stricture (AS) refers to the narrowing of the surgical connection between two structures in the GI tract. To better understand this condition, it helps to define the terms. GI tract – The GI tract consists of organs located between the mouth and the anus.

Is Mirizzi syndrome fatal?

Extremely high levels of malignancy markers cancer antigen (CA) 19-9 have been found in patients and often have been mistakenly and incorrectly labelled as malignancy. Total mortality associated with Mirizzi syndrome is estimated to range from 5% to 31% [1].

How is a hepatojejunostomy used in Blumgart surgery?

John Wong, in Blumgart’s Surgery of the Liver, Biliary Tract and Pancreas, 2-Volume Set (Sixth Edition), 2017 Hepaticojejunostomy is constructed with the hope of providing adequate drainage to the biliary tract for unimpeded passage of newly formed intrahepatic stones.

What are the side effects of a hepaticojejunostomy?

Hepaticojejunostomy is a commonly performed biliary reconstruction surgery. Complications associated with the procedure include: Side effects of anesthesia such as

Can a hepaticojejunostomy be performed without a distal stricture?

Majority of the patients (81%) who underwent a choledochoduodenostomy had a primary diagnosis of choledocholithiasis with or without a distal stricture, while most of the patients (60%) who underwent a hepaticojejunostomy had a diagnosis of traumatic injury to the CBD.

How many U-sutures are in the Blumgart anastomosis?

An opening is made in the seromuscular side wall of the jejunum, with a size similar to the diameter of the pancreas. The Blumgart anastomosis is constructed by four to six transpancreatic U-sutures: two to three on each side of the main pancreatic duct.