| Short intussusception valves prevent reflux after jejunal interposition bilioduodenal anastomosis. | |
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MedLine Citation:
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PMID: 1777408 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Short whole circumference and semi-circumference intussusception valves were created in interposition cholecysto-jejunal-duodenal conduits in pigs to determine which method best prevented gastrointestinal reflux into the biliary tract. Following intravenous injection of 99 mTc-HIDA the time interval for its excretion from the liver and appearance in the duodenum was not different in either whole or semi-circumference valve animals or in controls without valves. After intragastric administration of 99 mTc-DTPA the relative radioactivity of gallbladder contents (reflux) in the cohort without valves was significantly higher than in both cohorts with valves. Animals with semi-circumferential valves in turn had significantly higher levels of nuclide than those with whole circumference valves. Reflux was observed grossly in 100% of animals without valves, in 20% of those with semi-circumference valves, and in no animals with whole circumference valves. This study indicates that both whole and semi-circumference intussusception valves placed in jejunal biliary conduits allow unimpeded flow of bile into the gastrointestinal tract. Whole circumference valves are more effective for prevention of reflux than semi-circumferential valves. |
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Authors:
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X Y Liu; S Liu; L R Shen; A Y Pan; J F Wen; S S Zhang; M Han; G V Stiegmann |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: HPB surgery : a world journal of hepatic, pancreatic and biliary surgery Volume: 5 ISSN: 0894-8569 ISO Abbreviation: HPB Surg Publication Date: 1991 |
Date Detail:
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Created Date: 1992-03-11 Completed Date: 1992-03-11 Revised Date: 2008-11-20 |
Medline Journal Info:
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Nlm Unique ID: 9002972 Medline TA: HPB Surg Country: SWITZERLAND |
Other Details:
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Languages: eng Pagination: 29-34 Citation Subset: IM |
Affiliation:
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Department of Surgery, First Affiliated Hospital, Hunan Medical College, Changsha. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Animals Bile Reflux / pathology, prevention & control* Choledochostomy / methods* Jejunum / pathology Swine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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