Reconstruction of the Bile Ducts With an Isolated Segment of Jejunum

Kirby, Charles K.

doi:10.1001/archsurg.1950.01250020467006

Cited by 24 publications

(9 citation statements)

References 3 publications

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“…[5][6][7][8][9][10] Other surgical approaches using various autologous conduits such as jejunum, artery, vein, split-thickness skin grafts, fascia, bile duct homografts, ureter, and appendix have also failed mostly because of cicatrisation and recurrent stricture formation. [11][12][13][14][15][16][17][18][19]…”

mentioning

confidence: 99%

Small intestinal submucosa as a bioscaffold for biliary tract regeneration

Rosen

Ponsky

Petras

et al. 2002

Surgery

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mentioning

confidence: 99%

Small intestinal submucosa as a bioscaffold for biliary tract regeneration

Rosen

Ponsky

Petras

et al. 2002

Surgery

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“…Tissues with a similar morphology to that of the extrahepatic bile duct and lumen have been investigated as BDSs. In practice, arteries[ 43 ], veins[ 15 , 17 - 19 , 44 ], ureters[ 45 ], skin[ 46 ], and jejunum[ 16 ] have been used as grafts. Due to the thickness of the extrahepatic bile duct and wall, the femoral vein was often used.…”

Section: Bds Reported To Datementioning

confidence: 99%

Pitfalls and promises of bile duct alternatives: A narrative review

Miyazawa¹,

Aikawa²,

Takashima³

et al. 2022

World J Gastroenterol

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Biliodigestive anastomosis between the extrahepatic bile duct and the intestine for bile duct disease is a gastrointestinal reconstruction that abolishes duodenal papilla function and frequently causes retrograde cholangitis. This chronic inflammation can cause liver dysfunction, liver abscess, and even bile duct cancer. Although research has been conducted for over 100 years to directly repair bile duct defects with alternatives, no bile duct substitute (BDS) has been developed. This narrative review confirms our understanding of why bile duct alternatives have not been developed and explains the clinical applicability of BDSs in the near future. We searched the PubMed electronic database to identify studies conducted to develop BDSs until December 2021 and identified studies in English. Two independent reviewers reviewed studies on large animals with 8 or more cases. Four types of BDSs prevail: Autologous tissue, non-bioabsorbable material, bioabsorbable material, and others (decellularized tissue, 3D-printed structures, etc. ). In most studies, BDSs failed due to obstruction of the lumen or stenosis of the anastomosis with the native bile duct. BDS has not been developed primarily because control of bile duct wound healing and regeneration has not been elucidated. A BDS expected to be clinically applied in the near future incorporates a bioabsorbable material that allows for regeneration of the bile duct outside the BDS.

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“…Для восстановления оттока желчи непосред-ственно в ДПК ряд авторов использовали изолиро-ванный сегмент тонкой кишки на сосудистой ножке [14,15,17,21], однако тонкая кишка по диаметру значительно превосходит ОПЖП, что создает труд-ности при включении ее между проксимальным и дистальным концами ОПП и ОЖП. При анастомо-зировании дистального конца сегмента кишки с ДПК создается соустье большой ширины и, следо-вательно, неизбежен рефлюкс дуоденального содер-жимого в трансплантат и желчное дерево с развити-ем холангита.…”

Section: результаты и обсуждениеunclassified

Restoration and reconstruction of extrahepatic bile ducts in high strictures using enteric autotransplant of variable diameter

Markov

2015

Khir. Z. im. N.I. Pirogova

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Цель работы -разработка технологии, совмещающей положительные стороны ГЭА при наложении соустий с общим печеночным протоком и обеспечивающей поступление желчи в ДПК и препятствующей дуоденобилиарному рефлюксу.Материал и методы. Представлены разработанные авторами методы операции при высоких стриктурах внепеченочных желчных протоков с использованием аутотрансплантата переменного диаметра из тонкой кишки.Результаты. У 10 обследованных в отдаленном послеоперационном периоде отмечены хорошие результаты: отсутство-вал рецидив стриктуры, холангита и были нормальными биохимические показатели. Доказано, что предложенные авто-рами методы могут служить альтернативой гепатикоеюностомии на выключенной по Ру петле тонкой кишки. Ключевые слова: высокие стриктуры внепеченочных желчных протоков, аутотрансплантат кишки, реконструкция. Aim. To develop technique incorporating favorable aspects of gastroenterostomy in common hepatic duct anastomosis, providing bile drainage into duodenum and preventing duodenobiliary reflux.Material and methods. It is presented developed operations for high strictures of extrahepatic bile ducts using enteric autotransplant of variable diameter.Results. Good remote postoperative results were observed in 10 survived patients. There were no recurrence of stricture, cholangitis and normal biochemical parameters were observed. It has been proved that suggested methods may be alternative to Roux-en-Y hepaticojejunostomy.

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Reconstruction of the Bile Ducts With an Isolated Segment of Jejunum

Cited by 24 publications

References 3 publications

Small intestinal submucosa as a bioscaffold for biliary tract regeneration

Small intestinal submucosa as a bioscaffold for biliary tract regeneration

Pitfalls and promises of bile duct alternatives: A narrative review

Restoration and reconstruction of extrahepatic bile ducts in high strictures using enteric autotransplant of variable diameter

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