Switch to
| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
10
|
| pubmed:dateCreated |
1998-10-16
|
| pubmed:abstractText |
Biliary-enteric anastomosis has long been associated with significant complications of early bile leak, cholangitis, and late stricture formation, and controversy exists regarding which operative technique best prevents these problems. Biliary-enteric anastomosis was performed using a single-layer running 4-0 polyglactin (Vicryl) suture, without a transanastomotic stent, in 97 patients by a single surgeon over a 17-year period. Indications for operation included malignant obstruction (84.5%), benign stricture, choledocholithiasis, and choledochal cyst. The most common operation performed was a choledochoduodenostomy; the remaining operations were either Roux-en-Y choledochojejunostomy, hepaticoduodenostomy, or Roux-en-Y hepaticojejunostomy. Complications occurred in 14.1 per cent of patients; there was one perioperative death. There was only one case of anastomotic leak (1%), which resolved spontaneously within 1 week. Mean hospital stay was 8.7 days. The mean follow-up was 13.1 months in all patients. Among patients with benign disorders of the biliary tract, the mean follow-up was 21 months, during which time no patient developed an anastomotic stricture. One patient experienced postoperative cholangitis, although not as a result of anastomotic stricture. Biliary-enteric anastomosis for both benign and malignant disorders can be safely performed using a running, absorbable suture without a stent.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:month |
Oct
|
| pubmed:issn |
0003-1348
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
64
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
917-20
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:9764691-Adult,
pubmed-meshheading:9764691-Aged,
pubmed-meshheading:9764691-Aged, 80 and over,
pubmed-meshheading:9764691-Anastomosis, Surgical,
pubmed-meshheading:9764691-Bile Ducts, Extrahepatic,
pubmed-meshheading:9764691-Cholestasis, Extrahepatic,
pubmed-meshheading:9764691-Female,
pubmed-meshheading:9764691-Follow-Up Studies,
pubmed-meshheading:9764691-Humans,
pubmed-meshheading:9764691-Intestine, Small,
pubmed-meshheading:9764691-Length of Stay,
pubmed-meshheading:9764691-Male,
pubmed-meshheading:9764691-Middle Aged,
pubmed-meshheading:9764691-Polyglactin 910,
pubmed-meshheading:9764691-Postoperative Complications,
pubmed-meshheading:9764691-Reoperation,
pubmed-meshheading:9764691-Stents,
pubmed-meshheading:9764691-Survival Rate,
pubmed-meshheading:9764691-Suture Techniques
|
| pubmed:year |
1998
|
| pubmed:articleTitle |
Safety and durability of single-layer, stentless, biliary-enteric anastomosis.
|
| pubmed:affiliation |
Department of Surgery, Kaiser Permanente Medical Center, Los Angeles, California, USA.
|
| pubmed:publicationType |
Journal Article
|