Diagnostik organischer und funktioneller St�rungen des Galleabflusses nach biliodigestiven Anastomosen durch hepato-bili�re Sequenzszintigraphie

Löhlein, D; Reichelt, H; Ziegler, H.; Pichlmayr, R.

doi:10.1007/bf01234289

Cited by 3 publications

(1 citation statement)

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“…12 Monaten durchgefiihrt. Die Methode erm6glieht den posthepatischen Galleabflul3 quantitativ und dynamisch zu erfassen [13,[18][19][20]. Sie ist der Cholangiographie insbesondere bei unzureichender Leberfunktion oder rasclaem Galleabflul3 in Sensivit~it und Spezifit~it weit fiberlegen [19,20] und erlaubt eine gute funktionelle Beurteilung bilio-bili/irer und bilio-digestiver Anastomosen [19,20].…”

Section: Nachuntersuchungenunclassified

Die mikrochirurgische Gallengangsanastomose Tierexperimentelle und klinische Untersuchung

Feller¹,

Riemenschneider²,

Küper³

1986

Langenbecks Arch Chiv

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In 10 Göttingen-minipigs an end-to-end anastomosis of the normal common bile duct was accomplished under the microscope with 11/0 Polygalactin-sutures. Biliary flow was controlled by serum concentration of alkaline phosphatase, by cholangiography and by dynamic hepato-biliary scintigraphy 2 weeks, and 3 and 6 months after the operation. Anastomoses were judged by macroscopic, microscopic and scanning electronmicroscopic examination 6 or 12 months postoperatively. The anastomoses presented no stenosis at all, only a light periductal fibrosis with intact luminal epithelium. Alkaline phosphatases and cholangiography showed a normal pattern, the scintigraphy presented dyskinesia after 2 weeks and normal flow at the later controls. After a microsurgical operation one patient showed a normal anastomosis after 6 months. A biliary anastomosis should be made by microscope in all patients with a long life span and unchanged bile duct wall in spite of the more difficult operation.

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