Source:http://linkedlifedata.com/resource/pubmed/id/12140617
Switch to
| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
2
|
| pubmed:dateCreated |
2002-7-25
|
| pubmed:abstractText |
Intrahepatic stone disease poses a difficult postoperative management problem due to frequent stone recurrence. Most of the methods proposed for long-term access to the intrahepatic biliary tree require multiple sessions of additional, usually invasive, procedures. An alternative method for endoscopic long-term access to the intrahepatic ducts, represented by a side-to-side anastomosis between the isolated Roux-en-Y jejunal limb of the bilioenteric bypass and the duodenum (duodenojejunostomy), was used in eight patients with retained and/or recurrent stones after surgical treatment of intrahepatic stone disease. There were no short- or long-term complications or mortality associated with the duodenojejunostomy. Postoperative endoscopic access to the intrahepatic ducts was successfully achieved in five of six patients: one with stone recurrence, one with a left hepatic duct stricture and stone recurrence and one with known retained postoperative stones. In two patients, no stones were found at endoscopy. Side-to-side duodenojejunostomy may be useful in the long-term endoscopic management of recurrent intrahepatic biliary stone disease and should be indicated whenever a bilioenteric anastomosis is performed for the treatment of bilateral intrahepatic stone disease.
|
| pubmed:commentsCorrections | |
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:issn |
0944-1166
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
9
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
261-4
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:12140617-Adult,
pubmed-meshheading:12140617-Algorithms,
pubmed-meshheading:12140617-Bile Duct Diseases,
pubmed-meshheading:12140617-Bile Ducts, Intrahepatic,
pubmed-meshheading:12140617-Biliary Tract Surgical Procedures,
pubmed-meshheading:12140617-Cholelithiasis,
pubmed-meshheading:12140617-Constriction, Pathologic,
pubmed-meshheading:12140617-Digestive System Surgical Procedures,
pubmed-meshheading:12140617-Duodenum,
pubmed-meshheading:12140617-Endoscopy,
pubmed-meshheading:12140617-Female,
pubmed-meshheading:12140617-Humans,
pubmed-meshheading:12140617-Jejunum,
pubmed-meshheading:12140617-Male,
pubmed-meshheading:12140617-Middle Aged,
pubmed-meshheading:12140617-Postoperative Period,
pubmed-meshheading:12140617-Recurrence,
pubmed-meshheading:12140617-Time Factors,
pubmed-meshheading:12140617-Treatment Outcome
|
| pubmed:year |
2002
|
| pubmed:articleTitle |
A new biliary access technique for the long-term endoscopic management of intrahepatic stones.
|
| pubmed:affiliation |
Department of Gastroenterology, Surgical Division, São Paulo University Medical School, São Paulo, Brazil.
|
| pubmed:publicationType |
Journal Article
|