Hepaticojejunostomy: Choledochojejunostomy. A method of intrajejunal anastomosis

Smith, Rodney

doi:10.1002/bjs.1800510306

Cited by 25 publications

(13 citation statements)

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“…4 The principles of technique that minimize the chances of complications are (1) the anastomosis must start by being as large as possible; (2) there must be complete apposition of the bile duct lining to the jejunal mucosa; and (3) there must be no tension. 5 Small-bowel obstruction (SBO) caused by intramural hematoma is well described in the literature, 6 but this case is unique because the hematoma, in addition to the SBO, caused an acute elevation of bilirubin. The use of CT scan for patients with this clinical presentation has been a helpful diagnostic tool.…”

Section: Discussionmentioning

confidence: 94%

Acute Bowel Obstruction After Hepaticojejunostomy Caused by Blood Clots

Shah

Rather²,

Khan

2014

CRSLS

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Section: Discussionmentioning

confidence: 94%

Acute Bowel Obstruction After Hepaticojejunostomy Caused by Blood Clots

Shah

Rather²,

Khan

2014

CRSLS

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“…We have described several variations of the drainage procedures suggested by Smith (1964) and have added a variation of our own, together with a description of special instruments designed t o facilitate the introduction and placement of the transhepatic drainage tube.…”

Section: Discussionmentioning

confidence: 99%

“…I n his original description Smith (1964) suggests the use of curved common duct forceps (Desj ardin's) for this purpose but we consider this unnecessarily traumatic and find the instrument which we have designed much more suitable and satisfactory.…”

Section: Technique Of Intubationmentioning

confidence: 97%

Transhepatic intubation of the common bile duct for inoperable obstruction—experience with 20 cases

Heydenrych

Zijl

ZylGrace

1969

Journal of Surgical Oncology

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The problems associated with the establishment of permanent bile drainage in the presence of inoperable bile duct obstructions are discussed, and the possibility of achieving effective drainage by means of an in‐dwelling transhepatic tube is described. Such a tube may be left in situ for the remainder of the life of patients suffering from carcinoma or indefinitely in patients suffering from nonmalignant obstructions. The techniques involved in the different circumstances are described. Certain special instruments have been made to facilitate introduction of the tube, and a description of these instruments and their use is given. A few representative case histories are given in which the various procedures were employed.

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“…No special adjustments are made with the Canadi an instrument in regard to eversion or stapling pressures. Smith [4] has demonstrated the necessity for mucosal opposition in the repair of com mon bile duct injuries. Though the pig bile duct anastomosis heals more readily than in man its use in over 30 occasion without significant com plications would support this.…”

Section: Discussionmentioning

confidence: 99%

“…The Canadian stapling instrument [4] has been used successfully for the ureteric anastomosis in experimental and clinical renal transplanta- tion [3] and this prompted a study of its application to choledochocholedochostomy in experimental liver transplantation in the pig. The in strument permits a technically simple, precise, mucosa to mucosa anas tomosis to be accomplished rapidly.…”

mentioning

confidence: 99%