收藏本站
收藏 | 投稿 | 手机打开
二维码
手机客户端打开本文

Interposed Jejunal Loop with Artificial Papilla:A New Procedure of Choledocho-duodenostomy

钱光相  黄志强  韩本立  周永碧  
【摘要】:正 Internal drainage of the biliary tract such as choledocho-duodenostomyand Roux-en-y choledocho-jejunostomy is a common operation for the treatment ofprimary choledocholithiasis and biliary strictrue.Though these procedures cancreat a good drainage,serious reflux cholangitis is frequently resulted.In orderto prevent this tiresome complication,the authors have designed a new procedure:a loop of jejunum is isolated;an artificial papilla is made on its distal end;thenits proximal end is connected to the bile duct and its distal end with the artificialpapilla is inserted into the duodenum;finally the isolated jejunal loop and theduodenum are sutured up.This paper is to report our experience of applying this procedure on 15 casesin the period from Nov.1982 to Nov.1985.After operation,no reflux of theintestinal contents into the interposed jejunal loop was found and barium mealwas able to demonstrate the reflux of the contrast medium only in one case out ofthe 15.14 cases have been followed up for 6-36 months and excellent results werefound.It proves that this operative procedure can prevent the reflux of chyme intothe biliary tract.In addition,interposed jejunal loop with an artificial papilla ismore physiological than Roux-en-y choledocho-jejunostomy since bile can flowthrough the interposed jejunal loop into duodenum to mix with the pancreaticfluid and chyme,which is helpful to better disgestion.

知网文化
中国知网广告投放
 快捷付款方式  订购知网充值卡  订购热线  帮助中心
  • 400-819-9993
  • 010-62982499
  • 010-62783978