Diagnosis and treatment of secondary sclerosing cholangitis after billary tract operation
- VernacularTitle:胆道手术后继发性硬化性胆管炎诊治体会
- Author:
Wenyu SUN
;
Xiaofeng JIANG
;
Honglei JIANG
;
Jian LIANG
- Publication Type:Journal Article
- Keywords:
Biliary Tract Surgical Procedures/adv eff;
Cholangitis,Sclerosing/compl;
Cholangitis,Sclerosing/ther
- From:
Chinese Journal of General Surgery
1993;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the diagnosis and treatment of secondary sclerosing cholangitis after billary tract operation.Methods The clinical clata of 7 cases with secondary sclerosing cholangitis after billary tract operation treated in our hospital from January 2000 to June 2008 were retrospectively analyzed.Results Recurrent episodes of bacterial cholangitis were present in all patients,and they all had history of biliary tract operation.After definite diagnosis,2 cases underwent operation and 5 cases underwent conservative treatment.Among the latter,1 case underwent endoscopic sphincterotomy and 1 case had liver transplantation.Of all the patients,2 cases recovered(2/7),2 cases died(2/7) and 3 cases are still undergoing treatment.Conclusions The prognosis of secondary sclerosing cholangitis after billary tract operation is relatively poor.The key measure is prevention,and early diagnosis together with rational treatment can have certain therapeutic effect.
