A NEW METHOD IN BILE DUCT-INTESTINE ANASTOMOSIS: TELOSCOPIC ANASTOMOSIS

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PAYRAVI H.

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Journal: Koomesh Year:2000 | Volume:2 | Issue:1 Page(s): 25-31

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Title

A NEW METHOD IN BILE DUCT-INTESTINE ANASTOMOSIS: TELOSCOPIC ANASTOMOSIS

Author(s)

PAYRAVI H. | Issue Writer Certificate

Keywords

TELOSCOPIC ANASTOMOSISQ4

COMMON BILE DUCTQ3

INTESTINEQ3

Abstract

Introduction: One of the most important causes in mortality and morbidity and outcome of liver transplantation is the method used for anastomosis of the bile duct to the INTESTINE. Several methods have been used for restoring a normal bile flow to the INTESTINE; among which, the most important are choledochojejunostomy and choledochocholedochostomy. The most common complications confronted with after these operations include anastomosis site leakage and stenosis. For this reason, widespread research projects are underway to find an easier and more optimal method for bile duct anastomosis in the INTESTINE. In this research, following the choledochal edges inside and passing them through an intestinal intramural channel (the Roux-en- Y anastomosis method), have been studied as a method to decrease the incidence of the two common prementioned complications. Materials and Methods: the COMMON BILE DUCTs were found in 6 sheeps, and with the help of two 180 degrees sutures, their edges were folded back on. The INTESTINE, pulled through an 'intestinal intramural channel and with the same two sutures, werte anastomosed internally to all of the intestinal layers. Results: 8 months after TELOSCOPIC ANASTOMOSIS of the bile duct to the INTESTINE, no sign of stenosis, cholangitis or bacteremia were found in 3 cases, a prominent papillary - shaped fold was seen in the jejunum. In one case, a leakage site from the anasomosis was detected; no leakage was detected on the 3rd day in the laparatomy. The anastomosis was found in another case on the 14th day for the purpose of histological examinations; both macroscopic and microscopic repair process was normal. Conclusion: The results of the study suggest that in the Roux-en- Y choledochojejunostomy method, fewer numbers of bacteria reach the COMMON BILE DUCT (C.B.D); however, the direct anastomosis of CBD to the jejunum is associated with a higher incidence of bacteremia and stenosis. Folding the CBD edges inside-out, associated with decreased number of sutures joining the duct to the INTESTINE. Introduction of the duct to INTESTINE through an intestinal intramural channel and finally, formation of a papillary fold or prominence, all could be seen? promising approaches to overcome the difficulties encountered in a classic bile duct anastomosis.

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APA: Copy

PAYRAVI, H.. (2000). A NEW METHOD IN BILE DUCT-INTESTINE ANASTOMOSIS: TELOSCOPIC ANASTOMOSIS. KOOMESH, 2(1), 25-31. SID. https://sid.ir/paper/37406/en

Vancouver: Copy

PAYRAVI H.. A NEW METHOD IN BILE DUCT-INTESTINE ANASTOMOSIS: TELOSCOPIC ANASTOMOSIS. KOOMESH[Internet]. 2000;2(1):25-31. Available from: https://sid.ir/paper/37406/en

IEEE: Copy

H. PAYRAVI, “A NEW METHOD IN BILE DUCT-INTESTINE ANASTOMOSIS: TELOSCOPIC ANASTOMOSIS,” KOOMESH, vol. 2, no. 1, pp. 25–31, 2000, [Online]. Available: https://sid.ir/paper/37406/en

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