Cholecystenterostomy is a surgical procedure that creates a direct connection between the gallbladder and the small intestine, typically the duodenum or jejunum, to allow bile to bypass an obstruction in the bile ducts and flow into the intestines. This procedure is performed as a palliative treatment for conditions like bile duct cancer, gallbladder cancer, or strictures of the bile duct that block the normal passage of bile. By creating this bypass, cholecystenterostomy helps relieve symptoms such as jaundice, pain, and digestive issues caused by the backup of bile into the liver. The primary causes for performing a cholecystenterostomy include malignant or benign obstructions in the biliary system, especially when more definitive treatments like tumor removal are not possible. It can also be used in cases of chronic pancreatitis or severe bile duct damage that prevent the normal flow of bile from the liver to the intestine. Complications from cholecystenterostomy can include infection, bile leakage, or peritonitis (inflammation of the abdominal lining). Other potential risks are blockages at the surgical connection site, leading to recurrent jaundice or digestive problems. There may also be issues with bile flow, which can result in malabsorption of nutrients or diarrhea. Long-term complications might involve scarring or narrowing at the site of the connection, requiring further surgical intervention. Despite these risks, cholecystenterostomy can provide significant symptom relief for patients with biliary obstructions, improving quality of life when more definitive treatments are not feasible.
