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[Biliodigestive anastomoses; a modality for resolving mechanical jaundice].
S Constantinoiu1, I Niculescu, C Agache
1Clinica de Chirurgie, Spitalul Clinic, Griviţa, Bucureşti.
Revista De Chirurgie, Oncologie, Radiologie, O.R.L., Oftalmologie, Stomatologie. Chirurgie
|March 1, 1990
Summary
Biliodigestive anastomoses effectively treat mechanical jaundice, with choledochoduodenal anastomosis preferred for benign lesions. Late results are good, but early postoperative complications like fistulae and stenoses occur.
Area of Science:
- Gastroenterology and Hepatobiliary Surgery
- Surgical Outcomes Research
- Biliary Tract Interventions
Context:
- 1,996 surgical procedures on extrahepatic biliary pathways over 14 years.
- 182 cases (9.11%) involved biliodigestive anastomoses for mechanical jaundice.
- Jaundice etiologies included biliary stones, benign lesions, and malignancy.
Purpose:
- To evaluate the efficacy and outcomes of biliodigestive anastomoses in treating mechanical jaundice.
- To analyze different types of anastomoses and their success rates.
- To identify factors influencing early and late postoperative results.
Summary:
- Choledochoduodenal anastomoses were most common (65.93%), followed by hepatic duct-duodenal (19.23%).
- Early postoperative mortality was 8%, with 35% morbidity including fistulae and stenoses.
- Late results were favorable, with a preference for choledochoduodenal anastomosis in benign cases.
Impact:
- Provides insights into surgical management of complex biliary conditions.
- Highlights the importance of etiology in determining surgical approach and prognosis.
- Informs clinical decision-making for patients with mechanical jaundice requiring surgical intervention.