[Hepatico-jejunal anastomosis without sutures with permanent access to the anastomosis].
A simple and rapid surgical technique for the treatment of bile duct strictures is described, is a nonsuture technique that permits a safe long term control of the anastomosis, is an hepatico-jejunostomy without sutures, a Roux in Y loop is anchored to the hepatic bilium with a transhepatic Levin F14-16 tube. When the Levin tube is retired a nylon thread is left in place for future use. Has been used with exit in 15 cases two of them presented biliar fistula that was easily treated with sucction at the ends of the catheter.
Blanco Benavides
R
R
Departamento de Cirugía y Radiodiagnóstico, Hospital de Especialidades del Centro Médico Nacional, IMSS.
Rodríguez Jerkov
J
J
D000713:Anastomosis, Roux-en-Y / Q000379:methods; D001649:Bile Duct Diseases / Q000601:surgery*; D001653:Bile Ducts, Intrahepatic / Q000601:surgery*; D002779:Cholestasis / Q000601:surgery*; D003251:Constriction, Pathologic / Q000601:surgery; D006801:Humans; D007583:Jejunum / Q000601:surgery*
Anastomosis hepático yeyunal sin suturas con acceso permanente de la anastomosis.