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portoenterostomy

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portoenterostomy /por·to·en·ter·os·to·my/ (por″to-en″ter-os´tah-me) surgical anastomosis of the jejunum to a decapsulated area of liver in the porta hepatis region and to the duodenum; done to establish a conduit from the intrahepatic bile ducts to the intestine in biliary atresia.
por·to·en·ter·os·to·my (pôrt-nt-rst-m)
n.
A surgical procedure for the treatment of biliary atresia in which a Roux-en-Y anastamosis is connected to the hepatic end of the divided extravascular portal structures, including the rudimentary bile ducts. Also called Kasai operation.

portoenterostomy
[pôr′tō·en′təros′təmē]
Etymology: L, porta + Gk, enteron, bowel, stoma, mouth, temnein, to cut
construction of a bile drainage system with an intestinal conduit to correct biliary atresia. There are several procedural approaches, such as anastomosis of the jejunum by a Roux-en-Y loop to the portal fissure region to establish bile flow from the bile ducts to the intestine. The procedure is indicated in patients younger than 3 months of age. The operation is successful in most cases, but in a significant number of patients late mortality occurs because of chronic medical problems. Without the operation, biliary cirrhosis develops with an attendant early death. Also called Kasai operation.

portoenterostomy
surgical anastomosis of the jejunum to a decapsulated area of liver in the porta hepatis region, and to the duodenum; done to establish a conduit from the intrahepatic bile ducts to the intestine in biliary atresia.


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