[Long-term results of benign bile duct strictures after treatment with pedicled jejunal patches].
Benign strictures of the common bile duct after surgery or due to gallstones may lead to obstruction and derangement of bile drainage in the extrahepatic biliary system. Although the treatment of choice in these situations is the endoscopic dilatation, in some cases with stenosis of a long segment of the bile duct a partial replacement with a vascularised jejunal patch may be possible and useful. To our knowledge, there are no reports on long-term results of the procedure. We describe the course, the surgical technique and long-term results of four patients with a jejunal patch reconstruction of the common bile duct. Ten years after surgery there were no radiologic or laboratory signs of a restenosis of the common bile duct.
Eickhoff
U
U
Chirurgische Abteilung des Evangelischen Krankenhauses Herne.
Kemen
M
M
Senkal
M
M
Zumtobel
V
V
D000328:Adult; D000368:Aged; D001651:Cholestasis, Extrahepatic / Q000000981:diagnostic imaging / Q000601:surgery*; D003137:Common Bile Duct Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D004385:Duodenostomy; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D007582:Jejunostomy; D008100:Liver Abscess; D008875:Middle Aged; D017562:Postcholecystectomy Syndrome / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D012086:Reoperation; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome