[Surgical therapy of benign obstructive jaundice (author's transl)].
The Mirizzi syndrome is the cause of one-third of all cases of benign obstructive jaundice; the therapy is cholecystectomy. Cholangiography is indispensible, manometry and choledochoscopy optional. Choledocholithiasis occurs in 50%. First, the stones are washed out and a Fogarty catheter is used, followed by spoon and forceps. Stenoses of the papilla are mostly dilated; therefore, transduodenal sphincterotomy in fibrotic stenoses should be used for impacted stones and suspected carcinoma of the papilla. The goal is definitive therapy during the first procedure, preserving anatomy and physiology; endoscopic sphincterotomy should be used for the second operation if possible.
D000293:Adolescent; D000328:Adult; D000368:Aged; D014670:Ampulla of Vater / Q000601:surgery; D002648:Child; D002761:Cholangitis / Q000601:surgery; D002763:Cholecystectomy; D002769:Cholelithiasis / Q000601:surgery; D001651:Cholestasis, Extrahepatic / Q000601:surgery*; D004106:Dilatation; D004322:Drainage; D042882:Gallstones / Q000601:surgery; D006801:Humans; D008875:Middle Aged
Chirurgische therapie beim benignen verschluss.