Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Biliary reconstruction without transanastomotic stent.

J T Innes1, J J Ferrara, L C Carey

  • 1Department of Surgery, Ohio State University College of Medicine, Columbus 43210.

The American Surgeon
|January 1, 1988
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The endocannabinoid system and rimonabant: a new drug with a novel mechanism of action involving cannabinoid CB1 receptor antagonism--or inverse agonism--as potential obesity treatment and other therapeutic use.

Journal of clinical pharmacy and therapeutics·2007
Same author

Cholangiocarcinoma: advocate an aggressive operative approach with adjuvant chemotherapy.

The American surgeon·2004
Same author

Ontogeny of StAR and ACTH-R genes in ovine placenta.

Placenta·2004
Same author

Metallothionein: the multipurpose protein.

Cellular and molecular life sciences : CMLS·2002
Same author

[Temporomandibular joint pain-dysfunction syndrome: danger!].

Revue de stomatologie et de chirurgie maxillo-faciale·2002
Same author

Location, not staging, of cholangiocarcinoma determines the role for adjuvant chemoradiation therapy.

The American surgeon·2001

Bile duct stricture repair without stents shows excellent long-term success. This study demonstrates that biliary enteric anastomosis is a safe and effective treatment for common bile duct strictures, achieving high patency rates.

Area of Science:

  • Gastroenterology
  • Hepatobiliary Surgery
  • Surgical Innovation

Background:

  • Common bile duct (CBD) strictures often result from operative injury.
  • Previous repair attempts were common in the studied patient cohort.
  • Transanastomotic stents are frequently used in reconstructive surgery for CBD strictures.

Purpose of the Study:

  • To evaluate the efficacy of biliary enteric anastomosis without transanastomotic stents for treating common bile duct strictures.
  • To assess the long-term outcomes and patency rates of reconstructive surgery for CBD strictures.
  • To determine the postoperative morbidity and complication rates associated with non-stented biliary enteric anastomosis.

Main Methods:

  • A single surgeon performed 23 operations on 22 consecutive patients with CBD strictures.

Related Experiment Videos

  • The study included both acute and chronic strictures, with most patients having prior repair attempts.
  • Reconstructive procedures included hepaticojejunostomy, choledochojejunostomy, and choledochoduodenostomy, with a mean follow-up of 72 months.

    • Main Results:

    • 95% of patients (21 out of 22) achieved excellent results, with stable liver function and no recurrence of cholangitis or jaundice.
    • Early complications included one abscess and one fistula, both resolved postoperatively.
    • Stricture recurrence occurred in two patients, successfully managed with balloon dilatation or reoperation.

    Conclusions:

    • Biliary enteric anastomosis can be safely performed without stenting for benign common bile duct strictures.
    • This approach yields low postoperative morbidity and excellent long-term patency.
    • Non-stented reconstruction offers a viable alternative for managing complex CBD strictures.