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- Title
[Biliodigestive anastomosis: indications, complications and interdisciplinary management].
- Authors
Goessmann, H; Lang, S A; Fichtner-Feigl, S; Scherer, M N; Schlitt, H J; Stroszczynski, C; Schreyer, A G; Schnitzbauer, A A
- 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.
- Publication
Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen, 2012, Vol 83, Issue 12, p1097
- ISSN
1433-0385
- Publication type
Journal Article
- DOI
10.1007/s00104-012-2365-z