Hepaticoenterostomy

Hepaticoenterostomy: Surgery to restore bile flow

Hepaticoenterostomy, also known as hepaticoenterostomia, is a surgical procedure that aims to restore normal bile flow from the liver to the intestine. This intervention is performed for disorders of the biliary tract, such as obstructions or stenoses, which can be caused by various pathological conditions, including cholelithiasis, bile duct tumors or congenital anomalies.

The hepaticoenterostomy technique involves creating communication between the bile ducts in the liver and the intestine. This is usually achieved by connecting the bile duct to the intestinal tract, which provides a direct path for the outflow of bile. Depending on the specific case and patient characteristics, different hepaticoenterostomy techniques may be used, such as the Roux-en-Y or single-suture anastomotic technique.

Indications for hepaticoenterostomy include bile duct obstruction, which leads to stagnation of bile in the liver and causes various symptoms such as jaundice, pain in the right hypochondrium and poor digestion of fats. In addition, hepaticoenterostomy may be necessary for recurrent or ongoing obturator cholangitis, which is an inflammatory disease of the biliary tract.

Although hepaticoenterostomy is an effective procedure for restoring bile flow, it also carries certain risks and complications. Possible complications may include infection, bleeding, biliary fistula formation, or narrowing of the anastomosis. Therefore, it is important that the operation is performed by experienced surgeons, taking into account all the individual characteristics of the patient.

After hepaticoenterostomy, patients usually require constant monitoring and subsequent rehabilitation. Early postoperative periodic monitoring will help identify possible complications and promptly take measures to treat them.

In conclusion, hepaticoenterostomy is a surgical procedure that restores normal bile flow from the liver to the intestine in cases of biliary tract disorders. This intervention can significantly improve the quality of life of patients suffering from bile duct obstruction and requires a competent surgical approach to achieve successful results.