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A new biliodigestive anastomosis technique after hepatic. Department of surgery, sahlgrenska hospital, university of gothenburg, s. Combine different pdf documents or other files types like images and merge them into one pdf. Herein we have reported a case of a patient who was admitted for jaundice, itch, and elevated aspartate aminotransferase and alanine aminotransferase levels at 6 weeks after liver transplantation. Biliodigestive anastomosis in y of roux was performed between the jejunum loop and distal portion of the cyst. Hat associated with a biloma was diagnosed and an urgent operation performed requiring a new biliodigestive anastomosis technique. Normal bile flow through bda was observed in 10 19. Department of surgery, sahlgrenska hospital, university of gothenburg, gothenburg, sweden. This free online tool allows to combine multiple pdf or image files into a single pdf document. In the last 2 years nov 2008nov 2010, seven patients who underwent pd and presented at the time of operation, a main bile duct mbd greater of 20 mm, received a mechanical biliodigestive anastomosis with surgical stapler. Indications, complications and interdisciplinary management. Combine pdfs in the order you want with the easiest pdf merger available.