[Benign strictures of the bile ducts. Significance of adequate bile duct drainage for the prognosis and course of this disease]

Chirurg. 1986 Apr;57(4):241-7.
[Article in German]

Abstract

Ninety-five patients with benign biliary strictures are presented in this study. All underwent reconstructive biliary surgery, either for proximal biliary strictures (Group A; 38 patients) or for distal biliary strictures (Group B; 57 patients). The type of bypass was individualized according to each patient's mechanical and anatomical characteristics as were assessed in our cholangiographic findings. For group A we used either a proximal to the stricture intrahepatic cholangiojejunostomy between Roux-en-Y jejunal loop and the main right or left hepatic ducts or multiple intrahepatic cholangiojejunostomies between segmental hepatic ducts and a Roux-en-Y jejunal loop. For Group B we chose between a choledocho- or hepaticoduodenostomy and a choledocho- or hepaticojejunostomy. There were three deaths due to sepsis, one in patients of group A and two among those of group B. Long-term results were satisfactory. None of our patients during a mean six year follow-up underwent further surgery for reasons related with either his/her operation or disease.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Aged
  • Bile Ducts / surgery
  • Bilirubin / blood
  • Cholangiography
  • Cholangiopancreatography, Endoscopic Retrograde
  • Cholelithiasis / surgery
  • Cholestasis / surgery*
  • Drainage / methods*
  • Female
  • Humans
  • Iatrogenic Disease
  • Liver Function Tests
  • Male
  • Middle Aged
  • Postoperative Complications / mortality
  • Prognosis

Substances

  • Bilirubin