Management of distal common bile duct stenosis found on T tube cholangiography
10.3760/cma.j.issn.1007-8118.2012.06.010
- VernacularTitle:T管造影发现胆总管末端狭窄的预后和处理
- Author:
Yimit YUSUP
;
Hao WEN
- Publication Type:Journal Article
- Keywords:
Common bile duct;
Stenosis;
Prognosis
- From:
Chinese Journal of Hepatobiliary Surgery
2012;18(6):430-431
- CountryChina
- Language:Chinese
-
Abstract:
Objective To review the management of distal common bile duct stenosis found on Ttube cholangiography.Methods This is a retrospective study on 63 patients who were found to have a distal common bile duct stenosis on T-tube cholangiography after cholecystectomy and bile duct exploration.In 30 patients,the T tube was removed.In 14 patients,the T tube was kept draining for 6 month.Seven patients developed biliary obstructive symptoms after the T-tube was spigotted,but in 3 of these patients,the T-tube could finally be removed by prolonging the spigotted time.In the remaining 4 patients,another operation was required 3 month after the first operation.In 13 patients the T tube was taken out after 6 months following balloon dilation.Results In 47 patients in whom the Ttube could be spigotted,41 patients (87.23％) did not develop any biliary obstructive symptoms on follow up for 2 6 years,while 6 patients developed biliary obstructive symptoms (12.77％).In 13 patients who received halloon dilation,7 developed biliary obstructive symptorns (53.85％).Conclusions In patients after common bile duct exploration,if distal common bile duct stenosis was found on T-tube cholangiography,the T-lube could he spigotted and the T-tube could be taken out if no obstructive symptoms developed.
