Choledochojejunostomy
The choledochojejunostomy is an operation in which a biliodigestive anastomosis between the bile duct ( the common bile duct ) and the jejunum ( jejunum ) is prepared. The duodenum ( duodenum ) is bypassed.
The bile duct usually connects the bile- producing cells of the liver with the duodenum; shortly before it flows into the intestine, it usually unites with the pancreatic duct ( ductus pancreaticus or Wirsungianus ) to form Father's ampulla ( ampulla hepatopancreatica ), which then opens into the duodenum as Father's papilla ( papilla duodeni major ).
The intervention is necessary when, for. B. as part of a Whipple's operation , parts of the bile duct or the duodenum were removed and a new connection between the liver and intestine has to be created. The rest of the bile duct is sewn into a healthy piece of intestine.
literature
- Doris Henne-Bruns u. a. (Ed.): Surgery (dual series). 3rd ext. Edition Georg Thieme Verlag, Stuttgart 2007, ISBN 978-3-13-125293-7