title: Surgical techniques in the management of distal biliary tract obstruction.
abstract: Management of obstruction in the distal biliary tree requires the use of different techniques depending upon the cause of obstruction and numerous patient-risk variables. The techniques of choledochoduodenostomy, sphincteroplasty, and choledochojejunostomy are discussed. The common technical component in each of these procedures is the use of monofilament 4-0 polypropylene in a continuous, single-layer technique for all biliary-enteric suture lines. The ease of performance with these methods is emphasized.
mesh_terms: D002779:Cholestasis / Q000601:surgery*; D003135:Common Bile Duct / Q000601:surgery; D004386:Duodenum / Q000601:surgery; D006801:Humans; D007583:Jejunum / Q000601:surgery; D009803:Sphincter of Oddi / Q000601:surgery; D013536:Suture Techniques