title: [Biliodigestive anastomosis: indications, complications and interdisciplinary management].
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.
authors.affiliation: Institut für Röntgendiagnostik, Universitätsklinikum Regensburg, Regensburg, Deutschland.
authors.forename: H
authors.initials: H
authors.lastname: Goessmann
authors.forename: S A
authors.initials: SA
authors.lastname: Lang
authors.forename: S
authors.initials: S
authors.lastname: Fichtner-Feigl
authors.forename: M N
authors.initials: MN
authors.lastname: Scherer
authors.forename: H J
authors.initials: HJ
authors.lastname: Schlitt
authors.forename: C
authors.initials: C
authors.lastname: Stroszczynski
authors.forename: A G
authors.initials: AG
authors.lastname: Schreyer
authors.forename: A A
authors.initials: AA
authors.lastname: Schnitzbauer
mesh_terms: D000713:Anastomosis, Roux-en-Y / Q000379:methods; D000714:Anastomosis, Surgical / Q000379:methods*; D001652:Bile Ducts / Q000601:surgery; D001660:Biliary Tract Diseases / Q000601:surgery*; D001662:Biliary Tract Surgical Procedures / Q000379:methods*; D003299:Cooperative Behavior; D004322:Drainage / Q000379:methods; D004385:Duodenostomy / Q000379:methods; D006801:Humans; D033183:Interdisciplinary Communication; D007582:Jejunostomy / Q000379:methods; D011171:Portoenterostomy, Hepatic / Q000379:methods; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D012086:Reoperation