๐”– Bobbio Scriptorium
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High bile duct strictures

โœ Scribed by D. A. Aubrey; M. J. B. Chare

Publisher
John Wiley and Sons
Year
1980
Tongue
English
Weight
367 KB
Volume
67
Category
Article
ISSN
0007-1323

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โœฆ Synopsis

Abstract

The diagnosis and surgical treatment of carcinoma of the common hepatic duct present difficult problems. Accurate preoperative localization of the obstructive lesion is essential and slim needle transhepatic percutaneous cholangiography is the investigation of choice. Worth while palliation may be achieved if biliary-enteric flow can be re-established by introducing a plastic stenton through the obstructive lesion in the bile duct. Three patients are reviewed who survive 36, 31 and 26 months after this operation. A further patient died of metastases after 5 months.

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## Abstract In a prospective study of 73 patients undergoing hepatodochojejunostomy for benign bile duct stricture who were covered by antibacterial prophylaxis with gentamicin and cephalothin, bacteria were cultured from bile sampled at operation in 80 per cent of cases. Aerobic organisms were fou