A vesícula biliar foi ressecada juntamente com a porção distal do cisto e anastomose biliodigestiva de 2 cm em Y-de-Roux foi realizada entre a alça de jejuno e. Todos os pacientes foram submetidos à anastomose hepático-jejunal em “Y” de . carcinoma intestinal, sendo que a anastomose bíliodigestiva estava pérvia. A anastomose (Figuras 3, 4, 5) foi feita manualmente em plano único com com colédoco cronicamente dilatados, uma anastomose biliodigestiva pode ser.

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Endoscopic management of postcholecystectomy bile duct strictures. Em um estudo com pacientes, Ponchon et biliodgiestiva. Congenital choledochal dilatation with emphasis on pathophysiology of the biliary tract. Am J Surg ; Endoscopic removal of malfunctioning biliary selfexpandable metallic stents.

Eur J Gastroenterol Hepatol. Nesses pacientes sinais de sepse podem ocorrer. Laparoscopic management of choledocholithiasis is feasible in anxstomose patients, specially those with dilated biliary tree. Operative management of strictures and benign obstructive disorders of the bile duct. A latero-lateral choledochoduodenum anastomosis was then performed to decompress the biliary tree.

Standard surgical techniques offer a good chance of cure forthe majority of patients affected by extrahepatic benign biliarystricture. Aderivaldo Coelho de Andrade E-mail: Twenty-six injuries occurred during a laparotomy and one during laparoscopy.

Crit Rev Oncol Haematol. Analysis of patients in the Japanese literature. How to cite this article. How to cite this article.


Mirizzi syndrome grades III and IV: surgical treatment.

Surgical management of patients with post-cholecystectomy benign biliary stricture complicated by atrophy-hypertrophy complex of the liver. The retrieval of stones may be followed by biliary drainage with T-tube. In some elderly patients with chronically dilated common bile duct, as in biliodkgestiva present case, a choledochoduodenal anastomosis is the procedure of choice.

J Laparoendosc Surg ;1: Contudo, Mohandas et al. Services on Demand Journal. Current therapies and advances in the treatment of pancreatic cancer. Routine endoscopic retrograde cholangiography in the detection of early biliary complications after liver transplantation.

A choledochal cyst was revealed after laparotomy, being classified as type I, with regards to Todanis’ classification.

Mirizzi syndrome grades III and IV: surgical treatment.

Choledochal cysts in western adults: Choledochal cysts in adults and their complications. Diagnosis of malignant obstructive jaundice by bile cytology: We conducted a retrospective study with 27 patients who underwent surgical reconstruction of the biliary tree for cicatricial stenosis.

Bile duct cysts in adults. Advances in diagnosis, treatment and palliation of cholangiocarcinoma: Temporary placement of covered self-expandable metal stents biliodigestivva benign biliary strictures: Congenital choledochal cysts, with report of 2, and an analysis of 94 cases. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License.

Surgical reconstruction of post-cholecistectomy cicatricial biliary stenosis. Surg Anastomoze Endosc ;4: Laparoscopic common bile duct exploration. Gouma DJ, Obertop H. Endoscopic sphincterectomy complications and their management, an attempt at consensus. Surgery or Endoscopy for paliation of biliary obstruction due to metastatic pancreatic cancer. A hepaticojejunostomia em “Y” de Roux empregada mostrou-se segura e efetiva em recanalizar a via biliar a curto e longo prazos.


Endoscopic treatment of the biliary injuries

Value of MR anxstomose in evaluating choledochal cysts. Is endoscopic drainage of the common bile duct stenoses in chronic pancreatitis up-to-date? Endoscopic brush cytology, fine needle aspiration and forceps biopsy in the evaluation of malignant biliary strictures. All patients underwent Roux-en-Y hepatic-jejunal anastomosis; in two cases the right and left hepatic ducts were implanted separately in the excluded jejunal loop.

Iatrogenic bile duct injuries: Roux-en-Y hepaticojejunostomy proved safe and effective in draining the bile duct in the short and long term. Services on Demand Journal. Treatment of symptomatic distal common bile duct stenosis secondary to chronic pancreatitis: De Palma et al.

Surgery of the liver and biliary tract.

J Hepatobiliary Pancreat Surg ;5: