[Surgery of benign obstruction of the bile tract. Current opinion status].
Treatment of the benign obstruction of the main bile duct remains controversial. A questionnaire, containing the different aspects of the treatment, was mailed in order to learn the general opinion about its management in our country; 140 specialists were surveyed with the following results: 35% gave valid answers. Most of those surveyed (85%) use antibiotic prophylaxis, preferably (79%) pre and postoperatively. Ultrasonography is used in 100% of the cases, and the second most common examination is endoscopic retrograde colangiopan-creatography. Among the intraopreoperative examinations, colangiography is the most used (100%), followed by choledochoscopy. A majority (90.4%) of those surveyed employ the T-tube and 67.5% prefer choledochoduodenostomy if an internal bile drainage must be performed. In obstructive jaundice, only 27.5% recommend preoperative percutaneous drainage. Endoscopic sphinterotomy is the elective technique for suppurative cholangitis and for patients with choledocholitiasis and previous cholecystectomy.
Molés
J R
JR
Servicio de Medicina Digestiva, Hospital La Fe Valencia.
Hoyos García
M
M
Ramírez Palanca
J J
JJ
García Herola
A
A
Berenguer Lapuerta
J
J
D019072:Antibiotic Prophylaxis / Q000706:statistics & numerical data; D002758:Cholangiography / Q000706:statistics & numerical data; D001651:Cholestasis, Extrahepatic / Q000000981:diagnostic imaging / Q000601:surgery*; D003137:Common Bile Duct Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D004322:Drainage / Q000706:statistics & numerical data; D019538:Health Care Surveys; D006801:Humans; D014463:Ultrasonography
Cirugía de la obstrucción benigna de la vía biliar. Estado actual de opinión.