scholarly journals Proposal of a new technique for bile duct reconstruction after iatrogenic injury: study in dogs and review of the literature

2007 ◽  
Vol 22 (3) ◽  
pp. 162-167 ◽  
Author(s):  
Eduardo Crema ◽  
Eliane Anrain Trentini ◽  
Juan Carlos Llanos

PURPOSE: Interposition of a jejunal tube between the common bile duct and duodenum. METHODS: Five adult mongrel dogs of both sexes, weighing on average 22.3 kg (18 to 26.5 kg), were used. Obstructive jaundice was induced by ligation of the distal common bile duct. After one week, a 2.5-cm long jejunal tube was fabricated from a segment of the loop removed 15 cm from the Treitz angle and interposed between the common bile duct and duodenum. RESULTS: The animals presented good clinical evolution and no complications were observed. After 6 weeks, complete integration was noted between the bile duct mucosa, tube and duodenum and a significant reduction in total bilirubin and alkaline phosphatase was observed when compared to the values obtained one week after ligation of the common bile duct. CONCLUSION: The jejunal tube interposed between the dilated bile duct and duodenum showed good anatomic integration and reduced total bilirubin and alkaline phosphatase levels in the animals studied.

2018 ◽  
Vol Volume 11 ◽  
pp. 2295-2301 ◽  
Author(s):  
Zhong Liu ◽  
Deng-Yong Zhang ◽  
Zheng Lu ◽  
Pei Zhang ◽  
Wan-Liang Sun ◽  
...  

1999 ◽  
Vol 31 (1) ◽  
pp. 156-159 ◽  
Author(s):  
Clemens Dejaco ◽  
Peter Ferenci ◽  
Ewald Schober ◽  
Klaus Kaserer ◽  
Reinhold Függer ◽  
...  

Author(s):  
OJS Admin

Abdominal Ultrasonography (USG) is an appropriate initial screening method for detection of biliary tract disease the consultants sometimes encounter patients who only have findings of dilatation of the Common Bile Duct (CBD) on US without specic biliary symptoms or jaundice.


2006 ◽  
Vol 19 (1) ◽  
pp. 57-60 ◽  
Author(s):  
Hans-Peter Heistermann ◽  
Daniel Palmes ◽  
Udo Stratmann ◽  
Gerd Hohlbach ◽  
H. Hierlemann ◽  
...  

2000 ◽  
Vol 51 (4) ◽  
pp. AB306
Author(s):  
Atsushi Minami ◽  
Tatsuya Yamagami ◽  
Masaa Ngahama ◽  
Ryota Higuchi ◽  
Rikiya Fujita

HPB Surgery ◽  
2008 ◽  
Vol 2008 ◽  
pp. 1-3 ◽  
Author(s):  
N. Dabbas ◽  
M. Abdelaziz ◽  
K. Hamdan ◽  
B. Stedman ◽  
M. Abu Hilal

Spontaneous perforation of the extrahepatic biliary system is a rare presentation of ductal stones. We report the case of a twenty-year-old woman presenting at term with biliary peritonitis caused by common bile duct (CBD) perforation due to an impacted stone in the distal common bile duct. The patient had suffered a single herald episode of acute gallstone pancreatitis during the third trimester. The patient underwent an emergency laparotomy, bile duct exploration, and removal of the ductal stone. The postoperative course was uneventful.


2002 ◽  
Vol 130 (5-6) ◽  
pp. 201-203
Author(s):  
Radoje Colovic ◽  
Nikica Grubor ◽  
Vesna Masirevic ◽  
Ljiljana Ivic

Pancreatic fistula is usually caused by acute or chronic pancreatitis, injury and operations of the pancreas. The pancreatic juice comes either from the main pancreatic duct or from side branches. Extremely rare pancreatic fistula may come through the distal end of the common bile duct that is not properly sutured or ligated after traumatic or operative transaction. We present a 58-year old man who developed a life threatening high output pancreatic fistula through the distal end of the common bile duct that was simply ligated after resection for carcinoma. Pancreatic fistula was developed two weeks after original surgery and after two emergency reoperations for serious bleeding from the stump of the right gastric artery resected and ligated during radical limphadenectomy. The patient was treated conservatively by elevation of the drain- age bag after firm tunnel round the drain was formed so that there was no danger of spillage of the pancreatic juice within abdomen.


2017 ◽  
Vol 11 (2) ◽  
pp. 428-433 ◽  
Author(s):  
Hrudya Abraham ◽  
Sajan Thomas ◽  
Amit Srivastava

Biliary sump syndrome is a rare condition. It is seen as a rare long-term complication in patients with a history of a side-to-side choledochoduodenostomy. In the era before endoscopic retrograde cholangiopancreatography, side-to-side choledochoduodenostomy was a common surgical procedure for the management of biliary obstruction. In the setting of a side-to-side choledochoduodenostomy, the bile does not drain through the distal common bile duct anymore. Therefore, the part of the common bile duct distal from the choledochoduodenostomy anastomosis consequently transforms into a poorly drained reservoir, making this so-called “sump” prone to accumulation of debris. These patients are prone to cholangitis. We present a 64-year-old man with a history of side-to-side choledochoduodenostomy who presented with manifestations of cholangitis. An endoscopic retrograde cholangiopancreatography confirmed a diagnosis of sump syndrome. The etiology, clinical manifestations, and treatment of biliary sump syndrome are discussed in this article.


2014 ◽  
Vol 53 (23) ◽  
pp. 2679-2682 ◽  
Author(s):  
Tatsuaki Sumiyoshi ◽  
Yasuo Shima ◽  
Takehiro Okabayashi ◽  
Takuhiro Kohsaki ◽  
Atsushi Kigi ◽  
...  

2018 ◽  
Vol 26 (8) ◽  
pp. 745-748 ◽  
Author(s):  
Yeseul Kim ◽  
Min Jung Jung ◽  
Su-Jin Shin

Gastric heterotopia within the biliary system is extremely rare. Moreover, the combination of gastric heterotopia in the bile duct with cholangiocarcinoma has not been reported. We describe a case of heterotopic gastric mucosa in the common bile duct with cholangiocarcinoma. An 80-year-old male was admitted with abdominal pain. Abdominal computed tomography revealed wall thickening from the hilar duct to the distal common bile duct. Biopsy from the distal bile duct showed only benign gastric foveolar-type epithelium and fundic glands. Although the diagnosis of the biopsy was benign, malignancy was strongly suspected from the radiologic findings, and excision of the bile ducts was performed. Microscopically, the resected specimen showed poorly formed malignant glands and gastric heterotopia also identified in the common bile duct. Three months later, the patient’s state worsened due to recurrence, and he died. To our knowledge, this is the first report of gastric heterotopia in the bile duct accompanying cholangiocarcinoma.


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