Treatment of iatrogenic injury in choledocho-pancreatico-duodenal junction
10.3760/cma.j.issn.1673-9752.2009.03.005
- VernacularTitle:胆胰肠结合部术中损伤的合理治疗方式
- Author:
Zhiyong WU
;
Gang ZHAO
- Publication Type:Journal Article
- Keywords:
Choledocho-pancreatico-duodenal junction;
Injury;
Diagnosis
- From:
Chinese Journal of Digestive Surgery
2009;8(3):174-175
- CountryChina
- Language:Chinese
-
Abstract:
The causes of iatrogenic injury in choledo-cho-pancreatico-duodenai junction include iatrogenic factors, anatomic factors and pathological factors. T-tube, methylthionine chloride and fiber choledochoscopy are useful methods for early diagnosis. Accurate exploration of the injury site and reasonable choice of management were significant in dealing with the iatrogenie injury and can lead to a satisfactory result. Choledo-chojejunostomy and Oddi sphincteroplasty are not recommended unless the patients had distal bile duet stricture or the stones can not be removed. Accurate detection of the injury site, evaluation of the severity, and proper choice of the surgical method are important for the prognosis of the patients.
