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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 [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.

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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Matthew had a procedure called a Kasai portoenterostomy, which involves taking a loop of intestine and forming it into a pipe to drain the bile from his liver.
Operations done: stoma formation (2), intestinal resection and anastamosis (2), portoenterostomy (1), pyloroplasty (1), exploratory laparotomy (1).
 
 
 
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