RESUMO
Eighty-six patients operated for stenosis caused by previous iatrogenic lesions of main bile duct over a 13-year period are reported. The incidence of operative lesions of main bile duct is 0.2 to 0.7% and a number of them are caused by surgery on the biliary tract (90%-95%), gastric resection or portacaval shunt. Sixty-five cases were treated by hepaticojejunostomy, 3 by hepaticojejunoduodenostomy and the remaining 18 patients underwent choledochoduodenostomy. Postoperative complications and long term results are also examined.
Assuntos
Doenças dos Ductos Biliares/cirurgia , Colecistectomia/efeitos adversos , Doenças dos Ductos Biliares/etiologia , Constrição Patológica/etiologia , Constrição Patológica/cirurgia , Humanos , Complicações Intraoperatórias , Complicações Pós-OperatóriasRESUMO
Results obtained using 99mTc HIDA in the follow-up of 17 patients who underwent hepaticojejunal bypass for different indications are examined. Results are also compared to other commonly used procedures such as echography and cholangiography (I.V. or PTC). Preliminary results appear to confirm that cholescintigraphy is an accurate procedure which allows an anterograde and physiologic visualization of the anastomosis.
