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Article

Therapeutic transjejunal endoscopy for the treatment of biliary complications after choledochojejunostomy

  • Authors:
    • Guo‑Ping Liu
    • Wen‑Xi Zhu
    • Guang‑Ming Cheng
    • Shu‑Ren Ma
  • View Affiliations / Copyright

    Affiliations: Department of General Surgery, Changhai Hospital, The Second Military Medical University, Shanghai 200433, P.R. China, Faculty of Nursing, Advanced Professional Technology College of China Medical University, Shenyang 110011, P.R. China, Department of Hepatobiliary Surgery, Shenyang North Hospital, Shenyang 110015, P.R. China, Department of Endoscopy, Shenyang North Hospital, Shenyang 110015, P.R. China
  • Pages: 499-502
    |
    Published online on: November 19, 2012
       https://doi.org/10.3892/etm.2012.815
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Abstract

The present study aimed to assess the value of endoscopic jejunostomy for post‑biliary intestinal anastomosis biliary complications. The clinical data of the endoscopic therapies by jejunal approach for post‑biliary intestinal anastomosis biliary complications in 13 patients (16 surgeries in total) were retrospectively analyzed. The surgical success rate was 100% (16/16). Nasobiliary tube detention was performed for 2 patients, plastic stent placement for 5 and biliary metal stent placement for 4. The remaining two patients did not retain any drainage tube or bracket after surgery. The incidence rate of intraoperative anastomotic stenostomia was 76.9% (10/13). A noticeable postoperative decrease in bilirubin levels was observed in 10 patients. The level of gallstone‑free patients was 75% (3/4). There were 10 cases in which cholangitis remission or no attack was identified. Post‑operative incisional infection occurred in 3 patients, hepatophyma in 1 and an intestinal fistula in 1. Endoscopic therapy by jejunal approach for post‑biliary intestinal anastomosis biliary complications has the virtue of being safe, effective and minimally invasive. It has extensive potential applications in clinical practice.
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Copy and paste a formatted citation
Spandidos Publications style
Liu GP, Zhu WX, Cheng GM and Ma SR: Therapeutic transjejunal endoscopy for the treatment of biliary complications after choledochojejunostomy. Exp Ther Med 5: 499-502, 2013.
APA
Liu, G., Zhu, W., Cheng, G., & Ma, S. (2013). Therapeutic transjejunal endoscopy for the treatment of biliary complications after choledochojejunostomy. Experimental and Therapeutic Medicine, 5, 499-502. https://doi.org/10.3892/etm.2012.815
MLA
Liu, G., Zhu, W., Cheng, G., Ma, S."Therapeutic transjejunal endoscopy for the treatment of biliary complications after choledochojejunostomy". Experimental and Therapeutic Medicine 5.2 (2013): 499-502.
Chicago
Liu, G., Zhu, W., Cheng, G., Ma, S."Therapeutic transjejunal endoscopy for the treatment of biliary complications after choledochojejunostomy". Experimental and Therapeutic Medicine 5, no. 2 (2013): 499-502. https://doi.org/10.3892/etm.2012.815
Copy and paste a formatted citation
x
Spandidos Publications style
Liu GP, Zhu WX, Cheng GM and Ma SR: Therapeutic transjejunal endoscopy for the treatment of biliary complications after choledochojejunostomy. Exp Ther Med 5: 499-502, 2013.
APA
Liu, G., Zhu, W., Cheng, G., & Ma, S. (2013). Therapeutic transjejunal endoscopy for the treatment of biliary complications after choledochojejunostomy. Experimental and Therapeutic Medicine, 5, 499-502. https://doi.org/10.3892/etm.2012.815
MLA
Liu, G., Zhu, W., Cheng, G., Ma, S."Therapeutic transjejunal endoscopy for the treatment of biliary complications after choledochojejunostomy". Experimental and Therapeutic Medicine 5.2 (2013): 499-502.
Chicago
Liu, G., Zhu, W., Cheng, G., Ma, S."Therapeutic transjejunal endoscopy for the treatment of biliary complications after choledochojejunostomy". Experimental and Therapeutic Medicine 5, no. 2 (2013): 499-502. https://doi.org/10.3892/etm.2012.815
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