Proposal of a new technique for bile duct reconstruction after iatrogenic injury. Study in dogs and review of the literature

Detalhes bibliográficos
Autor(a) principal: Crema, Eduardo
Data de Publicação: 2007
Outros Autores: Trentini, Eliane Anrain, Llanos, Juan Carlos [UNESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1590/S0102-86502007000300002
http://hdl.handle.net/11449/69642
Resumo: Purpose: Interposition of a jejunal tube between the common bile duct and duodenum. Methods: Five adult mongrel dogs of both sexes, weighing on average 22.3 kg (18 to 26.5 kg), were used. Obstructive jaundice was induced by ligation of the distal common bile duct. After one week, a 2.5-cm long jejunal tube was fabricated from a segment of the loop removed 15 cm from the Treitz angle and interposed between the common bile duct and duodenum. Results: The animals presented good clinical evolution and no complications were observed. After 6 weeks, complete integration was noted between the bile duct mucosa, tube and duodenum and a significant reduction in total bilirubin and alkaline phosphatase was observed when compared to the values obtained one week after ligation of the common bile duct. Conclusion: The jejunal tube interposed between the dilated bile duct and duodenum showed good anatomic integration and reduced total bilirubin and alkaline phosphatase levels in the animals studied.
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spelling Proposal of a new technique for bile duct reconstruction after iatrogenic injury. Study in dogs and review of the literatureBiliary tract surgical proceduresCholedochostomyDogsJaundice, obstructivealkaline phosphatasebilirubinalkaline phosphatase blood levelanimal experimentanimal modelbile duct ligationbile duct reconstructionbilirubin blood levelcommon bile ductcomparative studycontrolled studydogduodenumfemaleiatrogenic diseasejejunummalenonhumanobstructive jaundicepostoperative caresurgical anatomysurgical techniqueAlkaline PhosphataseAnastomosis, SurgicalAnimalsBilirubinCholecystectomy, LaparoscopicCholestasisCommon Bile DuctDisease Models, AnimalDuodenumFemaleIatrogenic DiseaseJejunumMalePurpose: Interposition of a jejunal tube between the common bile duct and duodenum. Methods: Five adult mongrel dogs of both sexes, weighing on average 22.3 kg (18 to 26.5 kg), were used. Obstructive jaundice was induced by ligation of the distal common bile duct. After one week, a 2.5-cm long jejunal tube was fabricated from a segment of the loop removed 15 cm from the Treitz angle and interposed between the common bile duct and duodenum. Results: The animals presented good clinical evolution and no complications were observed. After 6 weeks, complete integration was noted between the bile duct mucosa, tube and duodenum and a significant reduction in total bilirubin and alkaline phosphatase was observed when compared to the values obtained one week after ligation of the common bile duct. Conclusion: The jejunal tube interposed between the dilated bile duct and duodenum showed good anatomic integration and reduced total bilirubin and alkaline phosphatase levels in the animals studied.Department of Digestive Surgery UFTM, Minas GeraisUniversity of Campinas, São PauloUniversity State of São Paulo, Rua Marcos Lombardi, 305, 38050-170 Uberaba - MGUniversidade Federal do Triângulo Mineiro (UFTM)Universidade Estadual de Campinas (UNICAMP)Universidade Estadual Paulista (Unesp)Crema, EduardoTrentini, Eliane AnrainLlanos, Juan Carlos [UNESP]2014-05-27T11:22:28Z2014-05-27T11:22:28Z2007-05-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article162-167application/pdfhttp://dx.doi.org/10.1590/S0102-86502007000300002Acta Cirurgica Brasileira, v. 22, n. 3, p. 162-167, 2007.0102-86501678-2674http://hdl.handle.net/11449/6964210.1590/S0102-86502007000300002S0102-865020070003000022-s2.0-342501618052-s2.0-34250161805.pdfScopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengActa Cirúrgica Brasileira0.9330,395info:eu-repo/semantics/openAccess2024-08-14T14:18:23Zoai:repositorio.unesp.br:11449/69642Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-14T14:18:23Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Proposal of a new technique for bile duct reconstruction after iatrogenic injury. Study in dogs and review of the literature
title Proposal of a new technique for bile duct reconstruction after iatrogenic injury. Study in dogs and review of the literature
spellingShingle Proposal of a new technique for bile duct reconstruction after iatrogenic injury. Study in dogs and review of the literature
Crema, Eduardo
Biliary tract surgical procedures
Choledochostomy
Dogs
Jaundice, obstructive
alkaline phosphatase
bilirubin
alkaline phosphatase blood level
animal experiment
animal model
bile duct ligation
bile duct reconstruction
bilirubin blood level
common bile duct
comparative study
controlled study
dog
duodenum
female
iatrogenic disease
jejunum
male
nonhuman
obstructive jaundice
postoperative care
surgical anatomy
surgical technique
Alkaline Phosphatase
Anastomosis, Surgical
Animals
Bilirubin
Cholecystectomy, Laparoscopic
Cholestasis
Common Bile Duct
Disease Models, Animal
Duodenum
Female
Iatrogenic Disease
Jejunum
Male
title_short Proposal of a new technique for bile duct reconstruction after iatrogenic injury. Study in dogs and review of the literature
title_full Proposal of a new technique for bile duct reconstruction after iatrogenic injury. Study in dogs and review of the literature
title_fullStr Proposal of a new technique for bile duct reconstruction after iatrogenic injury. Study in dogs and review of the literature
title_full_unstemmed Proposal of a new technique for bile duct reconstruction after iatrogenic injury. Study in dogs and review of the literature
title_sort Proposal of a new technique for bile duct reconstruction after iatrogenic injury. Study in dogs and review of the literature
author Crema, Eduardo
author_facet Crema, Eduardo
Trentini, Eliane Anrain
Llanos, Juan Carlos [UNESP]
author_role author
author2 Trentini, Eliane Anrain
Llanos, Juan Carlos [UNESP]
author2_role author
author
dc.contributor.none.fl_str_mv Universidade Federal do Triângulo Mineiro (UFTM)
Universidade Estadual de Campinas (UNICAMP)
Universidade Estadual Paulista (Unesp)
dc.contributor.author.fl_str_mv Crema, Eduardo
Trentini, Eliane Anrain
Llanos, Juan Carlos [UNESP]
dc.subject.por.fl_str_mv Biliary tract surgical procedures
Choledochostomy
Dogs
Jaundice, obstructive
alkaline phosphatase
bilirubin
alkaline phosphatase blood level
animal experiment
animal model
bile duct ligation
bile duct reconstruction
bilirubin blood level
common bile duct
comparative study
controlled study
dog
duodenum
female
iatrogenic disease
jejunum
male
nonhuman
obstructive jaundice
postoperative care
surgical anatomy
surgical technique
Alkaline Phosphatase
Anastomosis, Surgical
Animals
Bilirubin
Cholecystectomy, Laparoscopic
Cholestasis
Common Bile Duct
Disease Models, Animal
Duodenum
Female
Iatrogenic Disease
Jejunum
Male
topic Biliary tract surgical procedures
Choledochostomy
Dogs
Jaundice, obstructive
alkaline phosphatase
bilirubin
alkaline phosphatase blood level
animal experiment
animal model
bile duct ligation
bile duct reconstruction
bilirubin blood level
common bile duct
comparative study
controlled study
dog
duodenum
female
iatrogenic disease
jejunum
male
nonhuman
obstructive jaundice
postoperative care
surgical anatomy
surgical technique
Alkaline Phosphatase
Anastomosis, Surgical
Animals
Bilirubin
Cholecystectomy, Laparoscopic
Cholestasis
Common Bile Duct
Disease Models, Animal
Duodenum
Female
Iatrogenic Disease
Jejunum
Male
description Purpose: Interposition of a jejunal tube between the common bile duct and duodenum. Methods: Five adult mongrel dogs of both sexes, weighing on average 22.3 kg (18 to 26.5 kg), were used. Obstructive jaundice was induced by ligation of the distal common bile duct. After one week, a 2.5-cm long jejunal tube was fabricated from a segment of the loop removed 15 cm from the Treitz angle and interposed between the common bile duct and duodenum. Results: The animals presented good clinical evolution and no complications were observed. After 6 weeks, complete integration was noted between the bile duct mucosa, tube and duodenum and a significant reduction in total bilirubin and alkaline phosphatase was observed when compared to the values obtained one week after ligation of the common bile duct. Conclusion: The jejunal tube interposed between the dilated bile duct and duodenum showed good anatomic integration and reduced total bilirubin and alkaline phosphatase levels in the animals studied.
publishDate 2007
dc.date.none.fl_str_mv 2007-05-01
2014-05-27T11:22:28Z
2014-05-27T11:22:28Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/S0102-86502007000300002
Acta Cirurgica Brasileira, v. 22, n. 3, p. 162-167, 2007.
0102-8650
1678-2674
http://hdl.handle.net/11449/69642
10.1590/S0102-86502007000300002
S0102-86502007000300002
2-s2.0-34250161805
2-s2.0-34250161805.pdf
url http://dx.doi.org/10.1590/S0102-86502007000300002
http://hdl.handle.net/11449/69642
identifier_str_mv Acta Cirurgica Brasileira, v. 22, n. 3, p. 162-167, 2007.
0102-8650
1678-2674
10.1590/S0102-86502007000300002
S0102-86502007000300002
2-s2.0-34250161805
2-s2.0-34250161805.pdf
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Acta Cirúrgica Brasileira
0.933
0,395
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 162-167
application/pdf
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
_version_ 1808128112440901632

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