[Peroperative estimation of the imperviousness of choledochoduodenal anastomoses].
Fistulae occurring after choledochoduodenostomy always have severe consequences. The following procedure aimed at checking for leakage is suggested by the authors. After completion of the posterior stage of the operation, a naso-gastric tube is introduced into the common bile duct, exposing the anterior suture; once the anastomosis has been performed, a fluid is injected into the tube by the anaesthetist, thus revealing any leakage. Once the incisions are covered, the naso-gastric tube is simply withdrawn on a few centimetres.
D001658:Biliary Fistula / Q000517:prevention & control; D003135:Common Bile Duct / Q000601:surgery*; D004386:Duodenum / Q000601:surgery*; D006801:Humans; D007412:Intestinal Fistula / Q000517:prevention & control; D007432:Intraoperative Period; D007441:Intubation, Gastrointestinal / Q000295:instrumentation; D011183:Postoperative Complications / Q000517:prevention & control; D013536:Suture Techniques
Appréciation per-opératoire de l'étanchéité des anastomoses cholédoco-duodénales.