Hepaticojejunostomy
Pronunciation: heh-PAT-ih-ko-jeh-joo-NOS-toh-mee
A surgical anastomosis connecting the hepatic duct to the jejunum to restore biliary-enteric continuity.
Full Definition
Hepaticojejunostomy is a reconstructive surgical procedure that creates a direct connection between the hepatic duct and a loop of jejunum, typically performed after pancreaticoduodenectomy or in cases of biliary obstruction. This anastomosis allows bile to drain from the liver into the small intestine, bypassing damaged or obstructed portions of the biliary tree. The procedure is a critical component of pancreatic and biliary reconstruction surgeries. Proper technique is essential to minimize complications such as bile leaks or strictures.
Usage
Usage note: Distinguish from pancreaticojejunostomy, which connects the pancreatic duct to jejunum.
In Context
- "The hepaticojejunostomy was performed in an end-to-side fashion using interrupted sutures." — Operative report
- "Postoperative imaging revealed a patent hepaticojejunostomy with no evidence of anastomotic stricture." — Radiology report