A new method for biliary tract reconstruction for primary bile duct stones.
Twelve patients with repeated episodes of jaundice and infection due to primary biliary duct stones were treated by interposing a 50-cm segment of the jejunum between the proximal common duct below the liver and the first portion of the duodenum. The interposed jejunum was positioned in a retrogastric position. There were no postoperative deaths, and laboratory data indicate no alteration in gastric secretion, gastrin levels, or barium reflux into the liver. After a mean follow-up period of 11.67 months, there was no need for further operations in these patients, all of whom had had previous multiple episodes of cholangitis and biliary colic.
T H
TH
Chang
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HL
Chao
D000328:Adult; D001663:Bilirubin / Q000032:analysis; D002681:China; D002761:Cholangitis / Q000601:surgery; D002769:Cholelithiasis / Q000097:blood / Q000601:surgery*; D003135:Common Bile Duct / Q000601:surgery*; D004386:Duodenum / Q000000981:diagnostic imaging; D005260:Female; D005500:Follow-Up Studies; D005745:Gastric Acidity Determination; D005750:Gastric Juice / Q000032:analysis; D005755:Gastrins / Q000097:blood; D006801:Humans; D007583:Jejunum / Q000000981:diagnostic imaging / Q000637:transplantation*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012964:Sodium / Q000032:analysis
D005755:Gastrins; D012964:Sodium; D001663:Bilirubin