Open Access Technical advance

External metallic circle in hepaticojejunostomy

Erdal Göçmen1, Mehmet Keskek1, Mesut Tez1*, Sebat Karamürsel2, Mahmut Koç1 and Mehmet Kılıç1

Author Affiliations

1 Department of 5th Surgery, Numune Training and Research Hospital, Sıhhiye, Ankara, Turkey

2 Department of Plastic and Reconstructive Surgery, Social Insurances Foundation Hospital, Ankara, Turkey

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BMC Surgery 2004, 4:14  doi:10.1186/1471-2482-4-14

Published: 6 October 2004



Biliary-enteric anastomosis especially Roux-en Y hepaticojejunostomy is frequently used for biliary diversion in benign biliary strictures. In this study, we present the results of hepaticojejunostomy with external metallic circle.


Hepaticojejunostomy with external metallic circle were performed in eight male Sprague-Dawley rats. At the end of the third month, anastomoses were analysed for patency and stability of external circles.


Relaparotomy revealed that all the anastomoses were patent and circles were in original places.


To provide the patency of narrow hepaticojejunostomy anastomoses, external metallic circle can be a good alternative to use of internal stents in suitable cases.