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...
- 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
- Rights
- License
- Restringido (Acceso a grupos específicos)
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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 |
_version_ |
1814167461057003520 |