Hepatoportoenterostomy is a complex surgical procedure performed to establish a connection between the liver, the bile ducts, and the small intestine. This procedure is primarily used to address conditions where there is an obstruction or absence of bile flow from the liver to the intestine, often due to congenital anomalies such as biliary atresia. In this surgery, the obstructed or absent bile ducts are bypassed by creating a direct conduit between the liver and the small intestine, allowing bile to flow freely and aiding in digestion. The main indication for hepatoportoenterostomy is biliary atresia, a condition where the bile ducts are malformed or blocked, leading to a buildup of bile and liver damage. The procedure aims to restore bile flow, improve liver function, and prevent further complications related to bile duct obstruction. Complications associated with hepatoportoenterostomy can include infection at the surgical site, bile leakage, or the development of bile duct strictures or obstructions at the anastomosis site. There is also a risk of liver dysfunction or deterioration if the underlying liver disease progresses. Long-term complications may involve issues related to bile flow or absorption, and patients often require close monitoring and follow-up care to manage any arising problems. Despite these risks, hepatoportoenterostomy can significantly improve outcomes and quality of life for patients with biliary atresia or similar conditions, providing a crucial intervention to manage severe biliary obstruction.
