Intrahepatic cholangiogastrostomy a safe palliation for unresectable hilar malignancies

Intrahepatic Cholangiogastrostomy is a modification of Longmire's procedure in which stomach instead of jejunum is used for the drainage of segment-II duct of liver. This operation was performed in 12 cases with locally advanced tumor, involving portahepatis, producing obstructive jaundice. In all cases, intrahepatic ducts of left and right lobes were dilated. All cases had prompt relief of jaundice. Gastroscopy was done in 8 cases, 6-8 weeks after surgery. There was no endoscopic evidence of gastritis. Ten patients have expired due to primary malignancy and remained an-icteric till death. One patient has been lost from follow up. One is alive and is free from jaundice. There was no operative mortality