The authors have conducted a retrospective study of surgical therapy by bilio-digestive anastomosis of benign and malignant diseases of the common bile duct. They conclude that this procedure should only be used when the anatomical and clinical conditions do not allow other surgical techniques to be employed.
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World J Gastrointest Surg
September 2023
Department of General Surgery, Saint Joseph University, Beirut 1107, Lebanon.
Background: Gallstone ileus following one anastomosis gastric bypass (OAGB) is an exceptionally rare complication. The presented case report aims to highlight the unique occurrence of this condition and its surgical management. Understanding the clinical presentation, diagnostic challenges and successful surgical intervention in such cases is crucial for healthcare professionals involved in bariatric surgery.
View Article and Find Full Text PDFEndosc Int Open
April 2023
Digestive and Interventional Endoscopy Unit, Niguarda-Ca' Granda Hospital, Milan, Italy.
Since 2014, we have been using a new endoscopic approach to improve management of biliary adverse events (BAEs) after bilio-digestive anastomosis. We provide an update about our experience at 7 years. Patients with BAEs on hepatico-jejunostomy underwent entero-enteral endoscopic by-pass (EEEB) creation between the duodenal/gastric wall and the biliary jejunal loop.
View Article and Find Full Text PDFJ Res Med Sci
January 2023
Department of General, Digestive and Endocrine Surgery, Robert Debré University Hospital, Reims, France.
Background: Anastomotic leak (AL) is a serious complication in digestive surgery. Early diagnosis might allow clinicians to anticipate appropriate management. The aim of this study was to assess the predictive value of amylase concentration in drain fluid for the early diagnosis of digestive tract AL.
View Article and Find Full Text PDFSurg Endosc
January 2023
Iuliu Haţieganu University of Medicine and Pharmacy, Street Emil Isac no 13, 400023, Cluj-Napoca, Romania.
Background: Bile duct injuries (BDI) are the most feared complications that can occur after laparoscopic cholecystectomy (LC). BDI have a high variability and complexity, several classifications being developed along the years in order to correctly assess and divide BDI. The EAES ATOM classification encompasses all the important details of a BDI: A (for anatomy), To (for time of), and M (for mechanism) but have not gained universal acceptance yet.
View Article and Find Full Text PDFMedicina (Kaunas)
June 2022
I.C.U. Clinic, Clinical County Emergency Hospital of Craiova, 1. Tabaci Street, 200642 Craiova, Romania.
Objectives: The aim of the study was to present the results obtained in our experiment regarding the management of postoperative enterocutaneous fistulas (PECF).
Materials And Methods: We conducted a retrospective study on 64 PECF registered after 2030 abdominal surgeries (1525 digestive tract surgeries and 505 extra-digestive ones) over a period of 7 years (1st of January 2014-31th of December 2020) in the 1st and 2nd Surgery Clinics, Clinical County Emergency Hospital of Craiova, Romania. The group included 41 men (64.
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