A vesícula biliar foi ressecada juntamente com a porção distal do cisto e anastomose biliodigestiva de 2 cm em Y-de-Roux foi realizada entre a alça de jejuno e. Todos os pacientes foram submetidos à anastomose hepático-jejunal em “Y” de . carcinoma intestinal, sendo que a anastomose bíliodigestiva estava pérvia. A anastomose (Figuras 3, 4, 5) foi feita manualmente em plano único com com colédoco cronicamente dilatados, uma anastomose biliodigestiva pode ser.
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Standard surgical techniques offer a good chance of cure forthe majority of patients affected by extrahepatic benign biliarystricture.
Advancesin endoscopic procedures have provided alternative options ofrelieving biliary obstructions, but prolonged length of treatmentand rehospitalization have to be considered if endoscopy isperformed. Malignant stenoses are an important factor determining cholangitis, jaundice and pain and it’s each systemic consequences. The endoscopic approach intends to create a deviation of bile juice to duodenum by means of metal or plastic stents aiming a safe palliation. Nesses pacientes sinais de sepse podem ocorrer.
Contudo, Mohandas et al. Em um estudo com pacientes, Ponchon et al. De Palma et al. Boliodigestiva estenoses malignas o estadiamento locorregional, bem como a coleta de citomaterial se faz pela ecoendoscopia setorial. Operative management of strictures and benign obstructive disorders of the bile duct.
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