[Results of correction of benign bile duct obstructions by bilio-jejunal anastomosis].
In 27 patients with disorders of the bile ducts we performed a bilio-jejunal anastomosis to eliminate the stenosis. The letality rate was 3.7%, the rate of complications following operation was 30%. After a period of 3 to 15 years 15 patients agreed to an inpatient follow-up examination. 80% of them regarded the postoperative results as subjectively good or very good. 60% were again completely able to work. Biochemical examinations, ultrasonography and sequencescintigraphy of the liver showed a higher rate of irregular findings despite missing symptoms. These findings were due to icteric or cholangitic predamages before surgical treatment. The determination of Gamma-Glutamyl-Transferase and alcaline Phosphatase as well as ultrasonography and sequencescintigraphy of the liver proved to be the most sensitive methods for evaluation of the late results.
Trebing
G
G
Abteilung für Allgemeine- und Viszerale Chirurgie, Friedrich-Schiller-Universität Jena.
Surber
B
B
Schröder
H
H
D000328:Adult; D000368:Aged; D017734:Bile Ducts, Extrahepatic / Q000601:surgery*; D002423:Cause of Death; D001651:Cholestasis, Extrahepatic / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis* / Q000401:mortality; D015996:Survival Rate