In 27 patients with disorders of the bile ducts we performed a bilio-jejunal anastomosis to eliminate the stenosis. The letality rate was 3.7%, the rate of complications following operation was 30%. After a period of 3 to 15 years 15 patients agreed to an inpatient follow-up examination. 80% of them regarded the postoperative results as subjectively good or very good. 60% were again completely able to work. Biochemical examinations, ultrasonography and sequencescintigraphy of the liver showed a higher rate of irregular findings despite missing symptoms. These findings were due to icteric or cholangitic predamages before surgical treatment. The determination of Gamma-Glutamyl-Transferase and alcaline Phosphatase as well as ultrasonography and sequencescintigraphy of the liver proved to be the most sensitive methods for evaluation of the late results.
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Zentralbl Chir
December 1996
Abteilung für Allgemeine- und Viszerale Chirurgie, Friedrich-Schiller-Universität Jena.
In 27 patients with disorders of the bile ducts we performed a bilio-jejunal anastomosis to eliminate the stenosis. The letality rate was 3.7%, the rate of complications following operation was 30%.
View Article and Find Full Text PDFHepato-biliary dynamic studies with 99mTc-Solcoscint-Hepatobida are suggested in the pre- and postoperative investigation of patients with possible surgical disease of the biliary tract. The equipment used for the studies was a gamma camera. The diagnostic criteria used were those of blood retention, liver, gall bladder, and biliary tree visualisation.
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