Evolution away from with the procedure jejunal mount by Hivet-Warren
Keywords:
reflux, digestive surgery, anastomiesAbstract
This experiment was carried out with 33 patients who underwent high biliojejunal anastomosis with the
Hivet-Warren loop. Twenty-eight of these patients were suffering from obstructive cancers in the biliary trae! and five had stenosis or benign fistulas. None of them
showed clinical symptomatdogy that could be ascribed to complications derived from this technique. However in three cases, who had to be reoperated five months
later for differents reasons the afferent branches which had been ligated were found to have been repermeabilized. In another patient, a large asymptomatic
blind pouch had been formed above the stricture the paper analyzes the advantages, inconvinients and indications of the Hivet-Warren loop and the technical
variations for preventing complications.
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