title: Evaluation of biliary enteric anastomosis in benign biliary disorders.
abstract: Evaluation of various methods of biliary enteric anastomosis in benign biliary diseases (BBD). A surgeon operating for BBD needs to improve the internal drainage of bile to prevent stasis and its back-pressure effects. This is best obtained by biliary enteric anastomosis. A total of 121 cases of biliary enteric anastomosis in BBD were included in this study. The postoperative course and long-term outcome were studied prospectively. In the choledochoduodenostomy group, there were no leaks, no restrictures, and no mortality. Five (10.41 %) patients had cholangitis attacks and 2 (4.17 %) patients had sump syndrome. The choledochojejunostomy group had no leaks, no restrictures. Two (7.14 %) patients had repeated cholangitis and 2 (7.14 %) patients had sump syndrome, no mortality. The hepaticojejunostomy group had 3 cases of anastomotic leak of which 2 healed spontaneously and 1 needed resurgery. There was restricture in 2 cases, in which resurgery was successful-one death, no cholangiocarcinoma. Biliary enteric anastomosis is a safe and effective method for the management of BBD. The method should be selected according to the disease pathology and patient characteristics.
authors.affiliation: Department of Surgery, Govt. Medical college and Rajindra Hospital, Patiala, 47, Ranjeet Bagh, Passey Road, Patiala, Punjab 147001 India.
authors.forename: Devinder Pal
authors.initials: DP
authors.lastname: Singh
authors.affiliation: Department of Surgery, Govt. Medical college and Rajindra Hospital, Patiala, 47, Ranjeet Bagh, Passey Road, Patiala, Punjab 147001 India ; Govt Medical College, Patiala, 47, Ranjeet Bagh, Passey Road, Patiala, Punjab 147001 India.
authors.forename: Sohrab
authors.initials: S
authors.lastname: Arora
keywords: Anastomosis; Biliary; CBD; CDD; CDJ; Choledochoduodenostomy; Enteric; HJ; Hepaticojejunostomy; Hepatobiliary; Jaundice; Stricture; Surgery