Biliary tract reconstruction using jejunal tube: An experimental study in dogs

Autor: Trentini, Eliane Anrain, Crema, Eduardo, Llanos, Juan Carlos [UNESP], Lerco, Mauro Masson [UNESP], Magna, Luiz Alberto, Leonardi, Luiz Sergio
Přispěvatelé: Universidade Estadual de Campinas (UNICAMP), Federal University of Triângulo Mineiro, Universidade Estadual Paulista (UNESP)
Jazyk: angličtina
Rok vydání: 2009
Předmět:
Zdroj: Scopus
Repositório Institucional da UNESP
Universidade Estadual Paulista (UNESP)
instacron:UNESP
Popis: Made available in DSpace on 2022-04-28T20:51:10Z (GMT). No. of bitstreams: 0 Previous issue date: 2009-04-01 Background: To physiologically reconstruct the biliary tract, Crema et al suggested the application of the Monti principle to the biliary tract, already used in humans for the urinary tract. With this technique, a jejunal segment is transversely retubularized. This study aimed to evaluate the efficacy of jejunal tube interposition between the common bile duct and duodenum in dogs. Methods: Thirteen dogs underwent a laparoscopic common bile duct ligature, followed by a biliodigestive connection by jejunal tube interposition after one week. The levels of glutamic-pyruvic and glutamic-oxalacetic transaminases, total bilirubins, alkaline phosphatase and gamma-glutamyltransferase were assessed before surgery and thereafter weekly until euthanasia, which was performed 6 weeks after biliodigestive connection. Results: Data on 9 dogs were analyzed statistically. The dogs presented with obstructive jaundice after common bile duct ligature, as confirmed by biochemical examination. They showed a statistically significant reduction in cholestasis after biliodigestive connection by jejunal tube interposition and were healthy until the end of the experiment. Conclusion: A statistically significant reduction was seen in total bifirubin and canalicular enzymes (alkaline phosphatase and gamma-glutamyltransferase) in the 9 dogs 6 weeks after biliodigestive connetion by jejunal tube interposition. © 2009, Hepatobiliary Pancreat Dis Int. All rights reserved. State University of Campinas Faculty of Medical Sciences Department of Surgery, Campinas, SP Federal University of Triângulo Mineiro São Paulo State University Júlio de Mesquita Filho Faculty of Medicine of Botucatu Department of Surgery and Orthopedics, 17017-240 Bauru, SP São Paulo State University Júlio de Mesquita Filho Faculty of Medicine of Botucatu Department of Surgery and Orthopedics, 17017-240 Bauru, SP
Databáze: OpenAIRE
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