Surgical management of benign strictures of the biliary tract

Benign strictures of the biliary tract are difficult to treat surgical complications. Most biliary strictures result from injuries during cholecystectomies, and their initial management is a major determining factor of the long-term outcome. Only surgeons well trained and experienced in their manage...

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Autores:
Tipo de recurso:
Fecha de publicación:
2014
Institución:
Universidad del Rosario
Repositorio:
Repositorio EdocUR - U. Rosario
Idioma:
eng
OAI Identifier:
oai:repository.urosario.edu.co:10336/26032
Acceso en línea:
https://doi.org/10.1007/s00268-001-0103-7
https://repository.urosario.edu.co/handle/10336/26032
Palabra clave:
Surgical Management
Benign Strictures
Biliary Tract
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License
Restringido (Acceso a grupos específicos)
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oai_identifier_str oai:repository.urosario.edu.co:10336/26032
network_acronym_str EDOCUR2
network_name_str Repositorio EdocUR - U. Rosario
repository_id_str
spelling 11293256600284c2b33-cf4c-4f54-bf5b-93ce8dabee08-12020-08-06T16:20:30Z2020-08-06T16:20:30Z2014-07-25Benign strictures of the biliary tract are difficult to treat surgical complications. Most biliary strictures result from injuries during cholecystectomies, and their initial management is a major determining factor of the long-term outcome. Only surgeons well trained and experienced in their management should treat this entity. The affected patients present various signs and symptoms depending on the time the lesion is detected, and the treatment modality largely depends on such timing. The success of surgical treatment with its attendant low morbidity and mortality makes it the preferred modality over transhepatic image-guided or endoscopic balloon dilatation, with or without the insertion of stents. Surgical treatment is based on three principles: good exposure for internal drainage of the intrahepatic biliary tract, mucosa-to-mucosa anastomosis, and prevention of the risk of reoperation for recurrent stenosis. Roux-en-Y hepaticojejunostomy with a blind subcutaneous jejunal loop seems to comply with these three principles. Transanastomotic stents are not necessary. We have analyzed our experience from 1988 to 1999 with 65 consecutive patients referred to us for biliary reconstruction. We used the Roux-en-Roux-en-Y hepaticojejunostomy with a blind subcutaneous jejunal loop, performed by the same surgical group in all cases.application/pdfhttps://doi.org/10.1007/s00268-001-0103-7ISSN: 0364-2313EISSN: 0037-945Xhttps://repository.urosario.edu.co/handle/10336/26032engSpringer Nature12501245World Journal of SurgeryVol. 25World Journal of Surgery, ISSN: 0364-2313;EISSN: 0037-945X, Vol.25 (October, 2001); pp.1245–1250https://link.springer.com/article/10.1007/s00268-001-0103-7Restringido (Acceso a grupos específicos)http://purl.org/coar/access_right/c_16ecWorld Journal of Surgeryinstname:Universidad del Rosarioreponame:Repositorio Institucional EdocURSurgical ManagementBenign StricturesBiliary TractSurgical management of benign strictures of the biliary tractManejo quirúrgico de las estenosis benignas del tracto biliar.articleArtículohttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_6501Quintero Hernández, Gustavo AdolfoPatiño, José Félix10336/26032oai:repository.urosario.edu.co:10336/260322021-06-03 00:50:24.425https://repository.urosario.edu.coRepositorio institucional EdocURedocur@urosario.edu.co
dc.title.spa.fl_str_mv Surgical management of benign strictures of the biliary tract
dc.title.TranslatedTitle.spa.fl_str_mv Manejo quirúrgico de las estenosis benignas del tracto biliar.
title Surgical management of benign strictures of the biliary tract
spellingShingle Surgical management of benign strictures of the biliary tract
Surgical Management
Benign Strictures
Biliary Tract
title_short Surgical management of benign strictures of the biliary tract
title_full Surgical management of benign strictures of the biliary tract
title_fullStr Surgical management of benign strictures of the biliary tract
title_full_unstemmed Surgical management of benign strictures of the biliary tract
title_sort Surgical management of benign strictures of the biliary tract
dc.subject.keyword.spa.fl_str_mv Surgical Management
Benign Strictures
Biliary Tract
topic Surgical Management
Benign Strictures
Biliary Tract
description Benign strictures of the biliary tract are difficult to treat surgical complications. Most biliary strictures result from injuries during cholecystectomies, and their initial management is a major determining factor of the long-term outcome. Only surgeons well trained and experienced in their management should treat this entity. The affected patients present various signs and symptoms depending on the time the lesion is detected, and the treatment modality largely depends on such timing. The success of surgical treatment with its attendant low morbidity and mortality makes it the preferred modality over transhepatic image-guided or endoscopic balloon dilatation, with or without the insertion of stents. Surgical treatment is based on three principles: good exposure for internal drainage of the intrahepatic biliary tract, mucosa-to-mucosa anastomosis, and prevention of the risk of reoperation for recurrent stenosis. Roux-en-Y hepaticojejunostomy with a blind subcutaneous jejunal loop seems to comply with these three principles. Transanastomotic stents are not necessary. We have analyzed our experience from 1988 to 1999 with 65 consecutive patients referred to us for biliary reconstruction. We used the Roux-en-Roux-en-Y hepaticojejunostomy with a blind subcutaneous jejunal loop, performed by the same surgical group in all cases.
publishDate 2014
dc.date.created.spa.fl_str_mv 2014-07-25
dc.date.accessioned.none.fl_str_mv 2020-08-06T16:20:30Z
dc.date.available.none.fl_str_mv 2020-08-06T16:20:30Z
dc.type.eng.fl_str_mv article
dc.type.coarversion.fl_str_mv http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_6501
dc.type.spa.spa.fl_str_mv Artículo
dc.identifier.doi.none.fl_str_mv https://doi.org/10.1007/s00268-001-0103-7
dc.identifier.issn.none.fl_str_mv ISSN: 0364-2313
EISSN: 0037-945X
dc.identifier.uri.none.fl_str_mv https://repository.urosario.edu.co/handle/10336/26032
url https://doi.org/10.1007/s00268-001-0103-7
https://repository.urosario.edu.co/handle/10336/26032
identifier_str_mv ISSN: 0364-2313
EISSN: 0037-945X
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.citationEndPage.none.fl_str_mv 1250
dc.relation.citationStartPage.none.fl_str_mv 1245
dc.relation.citationTitle.none.fl_str_mv World Journal of Surgery
dc.relation.citationVolume.none.fl_str_mv Vol. 25
dc.relation.ispartof.spa.fl_str_mv World Journal of Surgery, ISSN: 0364-2313;EISSN: 0037-945X, Vol.25 (October, 2001); pp.1245–1250
dc.relation.uri.spa.fl_str_mv https://link.springer.com/article/10.1007/s00268-001-0103-7
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_16ec
dc.rights.acceso.spa.fl_str_mv Restringido (Acceso a grupos específicos)
rights_invalid_str_mv Restringido (Acceso a grupos específicos)
http://purl.org/coar/access_right/c_16ec
dc.format.mimetype.none.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Springer Nature
dc.source.spa.fl_str_mv World Journal of Surgery
institution Universidad del Rosario
dc.source.instname.none.fl_str_mv instname:Universidad del Rosario
dc.source.reponame.none.fl_str_mv reponame:Repositorio Institucional EdocUR
repository.name.fl_str_mv Repositorio institucional EdocUR
repository.mail.fl_str_mv edocur@urosario.edu.co
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