scholarly journals SURGICAL TREATMENT OF HYPERTENSION-DUCTAL TYPE OF CHRONIC PANCREATITIS, IN COMBINATION WITH BILIARY OBSTRUCTION SYNDROME

2021 ◽  
Vol 5 (2) ◽  
pp. 174-183
Author(s):  
K. S. Belyuk ◽  
◽  
K. N. Zhandarov ◽  
E. V. Mahiliavets ◽  
M. O. Radikevich ◽  
...  
Keyword(s):  
Chronic Pancreatitis ◽  
Surgical Treatment ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Pancreatic Cysts ◽  
Terminal Part ◽  
Ductal System ◽  
Treatment Of Hypertension ◽  
The Common ◽  
Objective Improvement

Background. The frequency of chronic pancreatitis and its complications is steadily increasing, which makes the problem of treating this pathology one of the most urgent and significant. Objective. Improvement of the results of surgical treatment of patients with hypertension-ductal type of chronic pancreatitis with extended stricture of the intrapancreatic part of the common bile duct. Material and methods. During the period 2006–2021, 328 operations were performed in the Grodno University Clinic due to chronic pancreatitis with pathology of the ductal system in combination with pancreatic cysts. The total number of complications was 5,1%. 18 patients with chronic recurrent pancreatitis, ductal hypertension in combination with a cyst of the head pancreas, also with extended stricture of the terminal part common bile duct and mechanical jaundice were operated on according to the methods developed in the clinic: 12 patients underwent choledochopancreatoejunostomy, 5 patients underwent choledochocystopancreatoejunostomy, choledochocystoduodenostomy was performed in 1 case. Results. The developed methods make it possible to perform adequate internal drainage of the ductal system of the pancreas and bile ducts, as well as cystic formations. Conclusions. The application of the developed methods improves the results of surgical treatment complicated chronic pancreatitis.

A Clinical Study on Surgical Treatment for Anomalou Arrangement of the Pancreaticobiliary Ductal System without Dilatation of the Common Bile Duct.

1996 ◽  
Vol 29 (4) ◽  
pp. 806-812 ◽  
Author(s):  
Tsukasa Azuma ◽  
Fujio Hanyu ◽  
Mitsuji Nakamura ◽  
Toshihide Imaizumi ◽  
Tatsuya Yoshikawa ◽  
...  
Keyword(s):  
Clinical Study ◽  
Surgical Treatment ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Ductal System ◽  
The Common

Regression of Liver Fibrosis after Biliary Drainage in Patients with Chronic Pancreatitis and Stenosis of the Common Bile Duct

2001 ◽  
Vol 344 (6) ◽  
pp. 418-423 ◽  
Author(s):  
Pascal Hammel ◽  
Anne Couvelard ◽  
Dermot O'Toole ◽  
Anne Ratouis ◽  
Alain Sauvanet ◽  
...  
Keyword(s):  
Chronic Pancreatitis ◽  
Bile Duct ◽  
Liver Fibrosis ◽  
Common Bile Duct ◽  
Biliary Drainage ◽  
The Common

scholarly journals Antegrade X-ray surgical interventions in patients with choledocholithiasis in case of failed endoscopic procedures

2019 ◽  
Vol 24 (2) ◽  
pp. 48-59
Author(s):  
O. I. Okhotnikov ◽  
M. V. Yakovleva ◽  
S. N. Grigoriev ◽  
V. I. Pakhomov ◽  
N. I. Shevchenko ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Postoperative Mortality ◽  
Endoscopic Papillotomy ◽  
X Ray ◽  
Endoscopic Procedures ◽  
Rendezvous Technique ◽  
Antegrade Approach ◽  
The Common

Objective. To analyze safety and efficacy of X-ray surgical treatment of choledocholithiasis in case of failed endoscopic procedures. Material and methods. A retrospective analysis included 195 patients with choledocholithiasis who underwent X-ray surgical treatment. Primary X-ray surgical intervention was antegrade cholangiostomy. Data of antegrade cholangiography were used to determine type of endobiliary intervention. Antegrade mechanical and pneumatic choledocholithotripsy and lithoextraction, balloon dislocation of stones of the common bile duct into duodenum or jejunum, lithoextraction using rendezvous technique after endoscopic papillotomy through transpapillary drainage tube or a wire were applied. Results. Puncture and drainage of non-dilated bile ducts were successfully performed in 30 (15.4%) patients. There were 212 procedires of cholangiostomy in 195 patients including redo interventions. Complications after cholangiostomy were absent in 92.9% of cases. Minor complications occurred in 7.1% of cases. Antegrade mechanical and pneumatic choledocholithotripsy and lithoextraction was performed in 118 (98.3%) patients. Balloon dislocation of stones of the common bile duct into duodenum was applied in 52 (81.3%) patients. Lithoextraction using rendezvous technique after previous endoscopic papillosphincterotomy was performed in 12 (60%) patients. Six patients underwent transpapillary external-internal drainage of common bile duct. Five patients had stricture of biliodigestive anastomosis complicated by cholelithiasis. Lithotripsy and lithoextraction through antegrade approach or dislocation of stones into jejunum after previous balloon dilatation were performed in these patients. Postoperative mortality was 1.5%. Minimally invasive techniques were absolutely effective for choledocholithiasis in 187 (98.9%) patients. Conclusion. Antegrade X-ray surgical management is effective and safe in patients with choledocholithiasis and unsuccessful previous endoscopic procedures. Integral efficiency of antegrade management of cholelithiasis was 88.8%.

scholarly journals Cystic form of biliary atresia. Treatment experience

2020 ◽  
Vol 10 (1) ◽  
pp. 17-24
Author(s):  
Irina I. Borisova ◽  
Anatoliy V. Kagan ◽  
Svetlana A. Karavaeva ◽  
Aleksey N. Kotin
Keyword(s):  
Surgical Treatment ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Biliary Atresia ◽  
Bile Ducts ◽  
Surgical Intervention ◽  
Ultrasound Examination ◽  
Duct Cyst ◽  
Cystic Form ◽  
The Common

Background. The cystic form of biliary atresia is a rare form of atresia of the biliary tract, which is a relatively favorable variant of the defect and can be diagnosed antenatally. In practice, it is important not only to suspect this diagnosis, but also to differentiate this variant of impaired development of the external bile duct from the cyst of the common bile duct. This is due to the difference in approaches and methods of surgical treatment of choledochal cysts and biliary atresia. Obliteration (atresia) of the bile ducts in the absence of timely surgical intervention quickly leads to the progression of cirrhosis and the development of liver failure. The method of choice in the treatment of AD is Kasai surgery, often palliative in nature, but allowing to delay the time until liver transplantation. The cyst of the common bile duct rarely requires early surgical treatment, and the risk of cirrhosis is significantly lower. Surgical intervention is aimed at removing the cyst and restoring the flow of bile by anastomosing the external bile ducts with the intestines, which is a radical method of treatment and leads to the recovery of the child. External similarity in ultrasound examination of the fetus and newborn baby of the cystic form of biliary atresia of the bile ducts with a cyst of the common bile duct does not always allow differentiation of one defect from another, which can lead to untimely correction of the defect and an unfavorable outcome. Aim. Demonstrate a rare type of biliary atresia. Materials and methods. Between 2001 and 2019, 33 patients with biliary atresia were treated in the Childrens City Multidisciplinary Clinical Specialized Center for High Medical Technologies in St. Petersburg, only two patients had a cystic form. Both children were initially treated as patients with bile duct cyst. Children were operated on at the age of 2 and 3.5 months. The first patient underwent surgery Kasai, the second hepaticoyunoanastomosis. Results. During the observation period (9 years and 4 years), the synthetic function of the liver is normal, and there are currently no indications for transplantation. Conclusion. If a fetus or a newborn with neonatal jaundice is detected during ultrasound examination of a cystic formation in the gates of the liver, it is very important to correctly and quickly make a differential diagnosis between the cystic form of biliary atresia of the biliary tract and the common bile duct cyst.

Treatment of chronic pancreatitis complicated by obstruction of the common bile duct or duodenum

1990 ◽  
Vol 14 (1) ◽  
pp. 59-69 ◽  
Author(s):  
Charles F. Frey ◽  
Mamoru Suzuki ◽  
Shuji Isaji
Keyword(s):  
Chronic Pancreatitis ◽  
Bile Duct ◽  
Common Bile Duct ◽  
The Common

Primary Small Cell Carcinoma of the Common Bile Duct, in Which Surgical Treatment was Performed After Neoadjuvant Chemotherapy: Report of a Case

Surgery Today ◽  
2003 ◽  
Vol 33 (11) ◽  
pp. 870-872 ◽  
Author(s):  
Kazuaki Hazama ◽  
Yasuhiro Suzuki ◽  
Motoo Takahashi ◽  
Yasuhiro Takahashi ◽  
Tatsuya Yoshioka ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Bile Duct ◽  
Neoadjuvant Chemotherapy ◽  
Common Bile Duct ◽  
Cell Carcinoma ◽  
Small Cell Carcinoma ◽  
Small Cell ◽  
The Common

scholarly journals Treatment options for iatrogenic bile duct injuries with the loss of confluence

2019 ◽  
Vol 2 (2) ◽  
pp. 10
Author(s):  
A. A. Asadova
Keyword(s):  
Surgical Treatment ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Treatment Options ◽  
Biliary Injury ◽  
Bile Duct Injuries ◽  
The Common ◽  
The Right

Iatrogenic bile duct injuries (IBDI) with the loss of confluence are the most feared types of biliary injury and represent 4% of all IBDI. The loss of confluence understood as when the right and the left hepatic ducts lose continuity with the common bile duct tree and to restore this continuity is a serious surgical challenge. Aim. The aim of this study is to share our results concerning the surgical treatment options of IBDI with the loss of confluence. Material and methods. During in a 10 years period (2008-2018) 105 patients with IBDI were admitted to our centers for surgical treatment. Among these patients there were only 13 patients with the loss of confluence (Strasberg E4 type).

Sign in / Sign up

Export Citation Format

Share Document