Mechanism and treatment of anastomotic scar after choledochostomy
10.3760/cma.j.cn115396-20200411-00097
- VernacularTitle:胆肠吻合术后吻合口瘢痕形成的机制及治疗现状
- Author:
Di CAO
1
;
Shaocheng LYU
;
Qiang HE
Author Information
1. 首都医科大学附属北京朝阳医院肝胆外科 100020
- From:
International Journal of Surgery
2020;47(6):402-406
- CountryChina
- Language:Chinese
-
Abstract:
Choledochojejunostomy is used in biliary diseases and part of the pancreas disease after surgical treatment of biliary reconstruction, the process of healing of biliointestinal anastomosis, involves a variety of inflammatory factors and different regulatory pathways, and eventually scarring is inevitable. Excessive scar response will result in anastomotic scar stricture, which will have to be treated..At present, interventional therapy is the main method to treat the scar stricture of biliointestinal anastomosis.On the whole, the treatment of bilioenteric anastomotic scar is relatively lagging behind, and there are many potential early treatment options worthy of attention, in order to better prevent and treat scar.The purpose of this article is to review the mechanism and treatment of choledochojejunostomy and anastomotic scar formation.