Jejunal interposition hepatico-duodenostomy in the treatment of congenital dilatation of bile duct

ABSTRACT

his technique was performed on 50 patients with congenital dilatation of the bile duct including 35 females and 15 males, ranging in age from 3 months to 33 years old. Patients treated from 4/1996 to 6/1999 at the Pediatric Institute and at the Bach mai Hospital, with abdominal pain in 76%, jaundice in 58%, classic triad in 12%. The diagnosis and the indications for operation have based on the ultrasonography.The cyst flattened by bile suction and the intraoperative cholangiography was very useful for the dissection, the resection of cysts and the performance of the anastomosis. There were not particular difficulties to prepare a jejunal segment about 25 cm in length, 40-50 cm from Treitz, passing through a hole made in the transverse mesocolon and duodenum. 35 intussusception valves were made in the isolated loop of jejunum. There was no mortality. Only 1 case with infected wound and another case with the left underdiaphragmatic abscess caused by the leakage of the jejuno-jejunal anastomosis, successfully treated by the drainage of the abscess. All the patients normally discharged from the hospital