It is sometimes necessary to sew the bile duct onto a loop of the small intestine. This ensures that the patient's digestive system will perform normally. Remaining pancreatic secretions are merged in the upper section of the small intestines with food and bile. Stomach and duodenum are not affected in the procedure. The gall bladder is removed to prevent later complications with the flow of bile. This component of the procedure is particularly demanding, as aggressive pancreas secretions constantly affect the joined sections of pancreas, pancreatic duct and sewn-on small intestine. The remainder of the pancreas is then sewn onto an inactive loop of the small intestine. The bile duct must be left untouched to avoid any disruption of bile flow into the duodenum. The surgeon will sever connections between the pancreas head and the duodenum, a technically very difficult procedure. Long-term damage is avoided while results are similar or better when compared to procedures used in the past. It will limit the loss of healthy tissue and therefore protect organs more effectively. This procedure will assist with the therapy of chronic pancreatitis. The procedure is known as biliodigestive anastomosis. Digestive malfunction and intense itching are often the consequences of the condition and joining the gall duct to the small intestine can bring relief. Icterus (jaundice) will be found, if a tumour in the pancreas head prevents the flow of bile. This procedure connects the stomach with the upper part of the small intestine, thus restoring food passage by bypassing the blocked duodenum, and it is known as gastroenterostomy. If the tumour cannot be removed totally, doctors will at least relieve pain and restore the patient's ability to eat normally. This procedure will relieve pain, but can only temporarily correct misdirected secretion flows.įood can no longer be passed on, if a tumour in the pancreas head blocks the duodenum. The opened gland will then be sewn onto an inactive loop of the small intestine. The entire pancreas may be opened, if the pancreatic duct becomes enlarged during chronic pancreatitis. With this procedure, blocked secretions can be drained. The surgeon will open up the cyst and connect it to an inactive loop of the small intestine. Most often the surgeon will operate on pseudo-cysts, found to have formed during pancreatitis. The Firm also supplies advice and assistance on the establishment and management of limited liability companies both in Italy and in many other European and non European countries as vehicles for local and international investments.This procedure will eliminate blocked pancreatic secretions caused by the disease. The Firm now avails of over 20 in-house lawyers spread over the main offices of Genoa, Milan, Livorno, Ravenna and London plus an extended network of local correspondents in the main Italian ports, and in the more important international business centers with a special focus on the United States and the eastern countries of Russia and the Ukraine.īefitting to the in-house skills and the extended network of correspondents, the Firm provides worldwide specialized legal services, among others, on general liability, professional liability, medical malpractice, D&O, marine and insurance law, arbitration and litigation, sales & purchase of ships, real estate and commodities, shipbuilding, sales, purchase and building of pleasure yachts, taxation, international finance, property, environmental liability and alternative energies (PV and solar, wind, geothermal). The Firm Batini Traverso Grasso & Associates was established in 1960.
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