Becker H, Brandt P, Ungeheuer E
MMW Munch Med Wochenschr. 1979 Apr 27;121(17):583-6.
Shrinkage of the anastomosis and blind loop syndrome with impacted stones or sludge in the retroduodenal common bile duct caused by papillary stenosis are the main reasons for an ineffective choledochoduodenostomy. The clinical picture is that of an ascending cholangitis. 30 choledochoduodenostomy repairs were performed in our hospital. The operative treatment is described in detail. In a follow-up of 30 patients there was only one case with a persisting chronic cholangitis.
吻合口狭窄导致十二指肠后胆总管内结石或胆泥嵌顿引起的吻合口狭窄和盲袢综合征是胆总管十二指肠吻合术效果不佳的主要原因。临床表现为化脓性胆管炎。我院共进行了30例胆总管十二指肠吻合术修复。详细描述了手术治疗方法。在对30例患者的随访中,仅有1例持续性慢性胆管炎。