Document Detail

Short intussusception valves prevent reflux after jejunal interposition bilioduodenal anastomosis.
MedLine Citation:
PMID:  1777408     Owner:  NLM     Status:  MEDLINE    
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.
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:
Type:  Journal Article    
Journal Detail:
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:
Created Date:  1992-03-11     Completed Date:  1992-03-11     Revised Date:  2008-11-20    
Medline Journal Info:
Nlm Unique ID:  9002972     Medline TA:  HPB Surg     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  29-34     Citation Subset:  IM    
Department of Surgery, First Affiliated Hospital, Hunan Medical College, Changsha.
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MeSH Terms
Bile Reflux / pathology,  prevention & control*
Choledochostomy / methods*
Jejunum / pathology

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