The treatment of postoperative hemorrhage of pancreato - jejunal or choledochojejunal anastomotic stoma after whipple operation by the way of fibercholedochoscopy
- VernacularTitle:Whipple术后胆肠、胰肠吻合口出血的胆道镜治疗
- Author:
Jingang LIU
;
Yupeng ZHANG
;
Yun YU
- Publication Type:Journal Article
- Keywords:
pancreato- duodenectomy anastomotic stoma hemorrhage fibercholedochoscopy treatment.
- From:Chinese Journal of Minimally Invasive Surgery
2001;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the therapeutic effectiveness of postoperative hemorrhage of cholejejunal or pancreato - jejunal anastomotic stoma after pancreato - duodenectomy by the way of fibercholedochoscopy. Meth- ods The drainge tube was extracted out of choledochojejunal anastomotic stoma. And fibercholedochoscopy was in- serted in fistula to affirm hemorrhagic position of choledochojejunal or pancreato - jejunal anastomotic stoma. And then local coagulation and microwave solidifying was proceeded with. Local spray of Galla - chineses compound solution was performed for hemostasis. Results We succeeded in hemorrhage of four choledochojejunal and six pancreato - jejunal anastomotic stoma One failed for frequent hemorrhage in pancreato - jejunal anastomotic stoma. Conclu- sion Fibercholedochoscopy is the first selective and effective method in the diagnosis and treatment of postoperative hemorrhoge of pancreato - jejunal or choledochojejunal anastomotic stoma after whipple operation.
