Repeated reconstruction for recurrent benign bile duct stricture

✍ Scribed by Dr I. Kozicki; K. Bielecki; A. Kawalski; L. Krolicki

• Publisher: John Wiley and Sons
• Year: 1994
• Tongue: English
• Weight: 295 KB
• Volume: 81
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.1800810515

✦ Synopsis

Since 1%5, 101 operations for benign bile duct stricture have been performed, including 51 Row-en-Y end-to-side hepaticojejunostomie. Complete follow-up to a mean of 12-5 years has been achieved. Nine patients required reoperation for stricture; the total cumulative late patency rate was 90 per cent, including successful repair. Seven of the nine patient6 who underwent a second operation had a favourable outcome. Early hepaticojejunostomy is a satisfactory treatment for recurrent b u r y stricture.

Rouxen-Y hepaticojejunostomy is regarded as the operation of choice in the surgical treatment of benign biliary stricture. Many patients undergoing this procedure are cured; however, 10-30 per cent present with symptoms from a recurrent stricture and require futther surgery. A retrospective review of the late results of repeat surgery in such patients is described.

Patients and methods

Between 1965 and 1991, 85 patients underwent 101 different reconstructive procedures, including 51 Rouxen-Y hepaticojejunostomies, for benign stricture of the extrahepatic bile duct in the authors' department. Regular follow-up (mean 12.5 years) was achieved in all patients. Those undergoing operation were considered as a cohort with 'Patient died free from symptoms of cholangitis; tclinical symptoms of intermittent cholangitis