External metallic circle in hepaticojejunostomy

Abstract

Background: Biliary-enteric anastomosis especially Roux-en Y hepaticojejunostomy is frequently used for biliary diversion in benign biliary strictures. In this study, we present the results of hepaticojejunostomy with external metallic circle. Methods: Hepaticojejunostomy with external metallic circle were performed in eight male Sprague-Dawley rats. At the end of the third month, anastomoses were analysed for patency and stability of external circles. Results: Relaparotomy revealed that all the anastomoses were patent and circles were in original places. Conclusion: To provide the patency of narrow hepaticojejunostomy anastomoses, external metallic circle can be a good alternative to use of internal stents in suitable cases. © 2004 Göçmen et al; licensee BioMed Central Ltd.