HJ surgery, also known as hepaticojejunostomy, is a surgical procedure that creates a connection between the hepatic duct and the jejunum. This allows bile to flow from the liver into the small intestine.
Understanding Hepaticojejunostomy
Here's a breakdown of what happens during HJ surgery:
- Hepatic Duct: This duct carries bile produced by the liver.
- Jejunum: This is the middle section of the small intestine.
- Connection: During the surgery, the surgeon creates a new pathway, an anastomosis, connecting the hepatic duct directly to the jejunum.
Why is HJ Surgery Performed?
HJ surgery is typically performed when there is a blockage or damage to the bile ducts, preventing bile from reaching the small intestine. This can be caused by several conditions including:
- Bile duct injuries: Damage to bile ducts during previous surgeries or injuries.
- Bile duct tumors: Growths blocking the bile ducts.
- Biliary strictures: Narrowing of the bile ducts due to inflammation or scarring.
Key Aspects of HJ Surgery:
| Feature | Description |
|---|---|
| Purpose | To restore bile flow from the liver to the small intestine. |
| Connection | Direct link between the hepatic duct and the jejunum. |
| Alternative | Choledochojejunostomy is similar but connects the common bile duct to the jejunum. |
| History | The first report of a similar procedure (choledochoenterostomy) was published in 1891. |
In Summary
Hepaticojejunostomy (HJ surgery) is a vital surgical procedure that creates a pathway for bile to flow when the normal ducts are blocked or damaged. By connecting the hepatic duct to the jejunum, it helps restore normal digestive function and overall health. The reference text notes that a similar procedure, choledochojejunostomy, connects the common bile duct to the jejunum, distinguishing it from HJ surgery which involves the hepatic duct.
