External metallic circle in hepaticojejunostomy

BMC Surg. 2004 Oct 6:4:14. doi: 10.1186/1471-2482-4-14.

Abstract

Background: Biliary-enteric anastomosis especially Roux-en Y hepaticojejunostomy is frequently used for biliary diversion in benign biliary strictures. In this study, we present the results of hepaticojejunostomy with external metallic circle.

Methods: Hepaticojejunostomy with external metallic circle were performed in eight male Sprague-Dawley rats. At the end of the third month, anastomoses were analysed for patency and stability of external circles.

Results: Relaparotomy revealed that all the anastomoses were patent and circles were in original places.

Conclusion: To provide the patency of narrow hepaticojejunostomy anastomoses, external metallic circle can be a good alternative to use of internal stents in suitable cases.

MeSH terms

  • Anastomosis, Roux-en-Y / instrumentation
  • Anastomosis, Roux-en-Y / methods
  • Animals
  • Common Bile Duct / surgery*
  • Jejunostomy / instrumentation
  • Jejunostomy / methods*
  • Jejunum / surgery*
  • Laparotomy
  • Male
  • Rats
  • Rats, Sprague-Dawley
  • Suture Techniques