[Reinterventions in evolutive oddipathies after cholecystectomy for lithiasis. 31 cases (author's transl)].
Angiocholitis induced by an oddipathy occured a long time after a cholecystectomy (average 8 years), for lithiasis in 0.5% of the patients. Indeed, the disorder was so serious that a new operation had to be performed in 31 cases. Although, this complication is rare, it is worth reducing its occurence by a preventive treatment: the best means consists in a circumstantial clinical examination in a precise "radio-mano-débitmétique" test during the cholecystectomy. Precisions are given in these fields. The re-intervention is imperative when the sclero-dystrophy of the area of the Oddi is settle. From the failures or the bad results of the operations of external or internal (sphincterotomy) drainage, we conclude that a bilio-digestive anastomosis must be performed, the most efficient is the cholangio-jejunostomy by implantation which involves a by pass of the whole bile flow.
D000328:Adult; D014670:Ampulla of Vater / Q000601:surgery*; D002763:Cholecystectomy / Q000009:adverse effects*; D002769:Cholelithiasis / Q000601:surgery; D003137:Common Bile Duct Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009803:Sphincter of Oddi / Q000601:surgery*
Réinterventions pour oddipathies évolutives après cholescystectomie pour lithiase. 31 observations.