Biliojejunal bypass procedue by using silica gel tube combination with Bardport TM pump in treating the malignant biliary obstruction
- VernacularTitle:带药泵的硅胶管胆道旁路内引流治疗恶性胆道梗阻
- Author:
Shaoping WANG
;
Feng HUO
;
Shilin ZHAN
;
Guozhong CHEN
- Publication Type:Journal Article
- Keywords:
CHOLESTASIS/surg;
DRAINAGE;
BILE DUCT NEOPLASMS/compl;
CHOLESTASIS/etiol
- From:
Chinese Journal of General Surgery
2001;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study a simple and effective internal bilioenterostomy for the malignant bile duct obstruction.Methods 58 obstructive jaundice patients caused by advanced carcinoma were divided into 2 groups(1)Bridge bilioenterostomy(BBES) group.Biliojejunal bypass procedue by using silica gel tube inserted into dilated bile duct and jejunum respectively combination with Bardport TM pump was performed on 25 patients .The biliary sludge were washed away through Bardport TM pump by injecting normal saline, antibiotic and 5-fluorouracil.(2)Control group.33 patients were treated with traditional biliojejunostomy. Results There was no difference in alleviating jaundice between the two groups ,but in BBES group the cholangitis rate (20.83%)and recurrent jaundice rate (9.52%) were much lower than those in control group ( 51.61% and 32.14% respectively, P