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Research Article
Novel surgical technique for the management of biliary-enteric anastomotic strictures
1 Hepatobiliary and Liver Transplant Unit, King Hussein Medical Center, Amman, Jordan
2 Department of Pulmonology, King Hussein Medical Center, Amman, Jordan
3 Department of Gastroenterology, King Hussein Medical Center, Amman, Jordan
Address correspondence to:
Malek A Al-Omari
MD, Hepatobiliary and Liver Transplant Unit, King Hussein Medical Center, Amman,
Jordan
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Article ID: 100089Z04TA2020
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Al-Munaizel T, Al-Abbadi A, Al-Jarrah R, Aljbour M, Naffa’ M, Oudat E, Alfaouri A, Al-Omari MA, Ghazzawi I, Smadi S. Novel surgical technique for the management of biliary-enteric anastomotic strictures. Int J Hepatobiliary Pancreat Dis 2020;10: 100089Z04TA2020.ABSTRACT
Aims: This study presents an invented surgical technique for dealing with biliary-enteric anastomotic strictures with the potential to replace currently used methods in certain cases.
Methods: In this retrospective study, a novel surgical technique was introduced in the management of eight patients with bilioenteric strictures between January 2016 and May 2018.
Results: Our new technique was associated with a 100% success rate where patency of anastomosis was achieved in all patients along the 28 month follow-up period. Only two of the patients developed a complication including wound-site infection, and cholangitis at the 17th month follow-up. None of the patients developed intrahepatic biliary dilation or stricture recurrence.
Conclusion: This novel surgical approach may reduce recurrent medical and radiological interventions and the need for anastomosis revision. It may also lessen the rate of complications. However, larger scale studies are needed to confirm such findings.
Keywords: Biliary-enteric, Choledochojejunostomy, Hepaticojejunostomy, Strictures, Stricturoplasty
SUPPORTING INFORMATION
Acknowledgments
We are grateful to Heba Lababneh, for her artistic work on the schematic views of the photos.
Author ContributionsTariq Al-Munaizel - Conception of the work, Design of the work, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Abdulhamid Al-Abbadi - Acquisition of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Raed Al-Jarrah - Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Mohammad Aljbour - Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Mo'taz Naffa' - Acquisition of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Eman Oudat - Acquisition of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Ashraf Alfaouri - Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Malek A Al-Omari - Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Imad Ghazzawi - Acquisition of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Sameer Smadi - Acquisition of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Tariq Al-Munaizel et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
