Document Detail


Segment III cholangiojejunostomy for palliation of malignant hilar obstruction.
MedLine Citation:
PMID:  7530149     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Between 1984 and 1992, 26 patients with obstructive jaundice due to malignancy at the liver hilum were treated by segment III Roux-en-Y cholangiojejunostomy. Twenty-two patients had hilar cholangiocarcinoma, one carcinoma of the gallbladder, one pancreatic carcinoma, one recurrent gastric carcinoma and one lymphoma. Seventeen patients had no complications in the postoperative period and six had complications; there were three postoperative deaths. Eighteen of the 23 surviving patients experienced complete resolution of jaundice for at least 3 months. Four developed recurrent jaundice and three had episodes of cholangitis before death. Segment III cholangiojejunostomy offers effective palliation for most patients with irresectable hilar malignancy.
Authors:
C M Guthrie; S W Banting; O J Garden; D C Carter
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of surgery     Volume:  81     ISSN:  0007-1323     ISO Abbreviation:  Br J Surg     Publication Date:  1994 Nov 
Date Detail:
Created Date:  1995-02-23     Completed Date:  1995-02-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1639-41     Citation Subset:  AIM; IM    
Affiliation:
University Department of Surgery, Royal Infirmary, Edinburgh, UK.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Anastomosis, Roux-en-Y
Bile Duct Neoplasms / complications,  mortality,  surgery*
Bile Ducts, Intrahepatic / surgery*
Cholangiocarcinoma / complications,  mortality,  surgery*
Cholestasis / etiology,  mortality,  surgery*
Female
Humans
Jejunum / surgery
Male
Middle Aged
Palliative Care / methods*
Prognosis
Retrospective Studies
Comments/Corrections
Comment In:
Br J Surg. 1995 Jul;82(7):997   [PMID:  7544221 ]

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


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