[Benign strictures of the bile ducts. Significance of adequate bile duct drainage for the prognosis and course of this disease].
Ninety-five patients with benign biliary strictures are presented in this study. All underwent reconstructive biliary surgery, either for proximal biliary strictures (Group A; 38 patients) or for distal biliary strictures (Group B; 57 patients). The type of bypass was individualized according to each patient's mechanical and anatomical characteristics as were assessed in our cholangiographic findings. For group A we used either a proximal to the stricture intrahepatic cholangiojejunostomy between Roux-en-Y jejunal loop and the main right or left hepatic ducts or multiple intrahepatic cholangiojejunostomies between segmental hepatic ducts and a Roux-en-Y jejunal loop. For Group B we chose between a choledocho- or hepaticoduodenostomy and a choledocho- or hepaticojejunostomy. There were three deaths due to sepsis, one in patients of group A and two among those of group B. Long-term results were satisfactory. None of our patients during a mean six year follow-up underwent further surgery for reasons related with either his/her operation or disease.
Lygidakis
N J
NJ
Brummelkamp
W H
WH
D000328:Adult; D000368:Aged; D001652:Bile Ducts / Q000601:surgery; D001663:Bilirubin / Q000097:blood; D002758:Cholangiography; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002769:Cholelithiasis / Q000601:surgery; D002779:Cholestasis / Q000601:surgery*; D004322:Drainage / Q000379:methods*; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D008111:Liver Function Tests; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality; D011379:Prognosis
D001663:Bilirubin
Gutartige Strikturen der Gallenwege. Die Bedeutung der ausreichenden Gallengang-Drainage für die Prognose und den Verlauf dieser Erkrankung.