Progress in the diagnosis and treatment of benign biliojejunal anastomotic stenosis combined with hepatic ductal stones
10.3760/cma.j.cn113884-20240711-00208
- VernacularTitle:良性胆肠吻合口狭窄合并肝胆管结石病的诊治进展
- Author:
Yongqing YE
1
;
Junpeng CHEN
;
Shanglin YANG
;
Xianhua ZHANG
;
Zhaowei DING
;
Shaoyong WU
;
Yawen CAO
;
Qing WU
Author Information
1. 佛山市第二人民医院肝胆外科，佛山 528000
- Keywords:
Biliary stone;
Bile-intestinal anastomosis;
Stricture;
Clinical diagnosis and treatment
- From:
Chinese Journal of Hepatobiliary Surgery
2024;30(10):793-797
- CountryChina
- Language:Chinese
-
Abstract:
Benign anastomotic stenosis remains a common complication after bilojejunal anastomosis. Its pathogenesis includes the histology of bile duct, bile erosion, and inappropriate choice of surgical anastomosis or suture materials. Biliojejunal anastomotic stenosis can be determined preoperatively by MRCP, CT, and three-dimensional image reconstruction. Surgery remains treatment of choice for most cases, including surgical reconstruction and minimally invasive treatment, while the incidence of restenosis, residual stone, and reoperation is still high. Surgeons are still in search of optimal treatment modality to avoid anastomotic stenosis. In this article, we review the literature and summarize the latest clinical progress in the diagnosis and treatment of biliojejunal anastomotic stenosis combined with hepatic ductal stones.
