Document Detail

Long-term curative effects of combined hepatocholangioplasty with choledochostomy through an isolated jejunum passage on hepatolithiasis complicated by stricture.
MedLine Citation:
PMID:  15730922     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Hepatocholangioplasty combined with choledochostomy was designed through an isolated jejunum passage in 1988. This study was undertaken to evaluate its long-term curative effects in 163 patients. METHODS: The 163 patients with hepatolithiasis complicated by stricture were treated with this procedure from 1988 to 2003. RESULTS: Among these patients, 19 patients with postoperative hepatolithiasis complicated by acute cholangitis were treated successfully with percutaneous paracentesis drainage through the isolated jejunum passage and without operation, 36 patients had postoperative residual or recurrent stones (35 patients had stones removed through the stoma and one underwent relaparotomy because of stenosis of the common bile duct along with stone in canceration). The clearance rate of stones after the isolated jejunum passage was 97%; 35 patients (21%) complicated with stricture due to hepatolith were treated with combined hepatocholangioplasty and choledochostomy. Follow-up for 1 to 15 years showed no recurrent stricture of the biliary tract. The operation also successfully prevented reflux cholangitis and other serious complications after Roux-en-Y cholangio-jejunostomy. CONCLUSION: Hepatocholangioplasty combined with choledochostomy through an isolated jejunum passage may significantly improve the long-term curative effects of hepatolithiasis with stricture.
Yong Li; Jun Cai; An-Tao Wu; Zi-Jian Wang
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Hepatobiliary & pancreatic diseases international : HBPD INT     Volume:  4     ISSN:  1499-3872     ISO Abbreviation:  HBPD INT     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2005-02-25     Completed Date:  2005-04-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  101151457     Medline TA:  Hepatobiliary Pancreat Dis Int     Country:  China    
Other Details:
Languages:  eng     Pagination:  64-7     Citation Subset:  IM    
Department of General Surgery, First Affiliated Hospital of Jiangxi Medical College, Nanchang 330006, China.
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MeSH Terms
Anastomosis, Surgical
Biliary Tract Surgical Procedures / methods
Choledochostomy / methods*
Cohort Studies
Combined Modality Therapy
Drainage / methods
Endoscopy, Digestive System / methods*
Follow-Up Studies
Jejunum / surgery
Lithiasis / diagnosis,  surgery*
Liver Diseases / diagnosis,  surgery*
Liver Function Tests
Retrospective Studies
Risk Assessment
Severity of Illness Index
Surgical Procedures, Minimally Invasive / methods
Time Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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