RISKS AND BENEFITS OF HEPATIC-JEJUNAL ANASTOMOSIS IN PATIENTS WITH BILIARY TUMORS: A REVIEW OF CLINICAL CASES

Abstract

Hepatojejunal anastomosis is a surgical technique frequently used to treat biliary obstructions secondary to biliary tumors, aiming to restore bile flow and alleviate associated symptoms such as jaundice and abdominal pain. This case review was performed to evaluate the risks and benefits associated with this approach in patients with biliary tumors. Studies documenting both success rates and postoperative complications associated with hepatojejunal anastomosis were analyzed. The results indicate that, although the technique has a high success rate in resolving biliary obstruction and improving patient quality of life, it is not without significant risks. The most common complications include biliary fistulas, anastomotic strictures, and infections, which can negatively affect long-term prognosis. The analysis suggests that, despite potential complications, hepatojejunal anastomosis remains a valuable option, especially in patients with unresectable biliary tumors. Careful management and close follow-up are recommended to minimize risks and improve outcomes. Future studies should focus on identifying predictors of complications and optimizing surgical techniques.