[Value of the bilio-intestinal bypass in biliary disease in the Far East: retrospective study of 5 year experience at the Calmette Hospital of Phnom Penh (Cambodia)].
Gallstone disease in the Far East exhibits a number of special features regarding epidemiology and etiology as well as indications for and response to surgical treatment. Surgical bypass techniques seldom used for treatment of gallstone disease in the West can be highly effective in lowering complication and recurrence rates in oriental patients. The purpose of this retrospective report is to describe a 5-year experience with gallstone disease at the Calmette Hospital in Phnom Penh (Kingdom of Cambodia). After reviewing the main pathological features encountered, we describe the indications for the two bypass techniques used. Choledocoduodenostomy was used for frail, elderly patients while choledochojejunostomy was the treatment of choice and achieved excellent short, middle, and long-term results in younger patients.
Breda
Y
Y
Service de Chirurgie Viscérale, Hôpital d'Instruction des Armées Desgenettes, 108 Bd Pinel, 69275 Lyon. yvesbreda@lemel.fr
Kry
H T
HT
Faucompret
S
S
Louis
C
C
Deligny
M
M
D000328:Adult; D017677:Age Distribution; D000367:Age Factors; D000368:Aged; D002160:Cambodia / Q000453:epidemiology; D002768:Choledochostomy / Q000379:methods* / Q000592:standards; D002769:Cholelithiasis / Q000453:epidemiology / Q000473:pathology / Q000601:surgery*; D005260:Female; D016330:Frail Elderly; D006801:Humans; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D015995:Prevalence; D012189:Retrospective Studies; D017678:Sex Distribution; D016896:Treatment Outcome