Crema Eduardo, Trentini Eliane Anrain, Llanos Juan Carlos
Experimental Laboratory of Surgery Techniques, Department of Surgery, Federal University of Triângulo Mineiro (UFTM), Minas Gerais, Brazil.
Acta Cir Bras. 2007 May-Jun;22(3):162-7. doi: 10.1590/s0102-86502007000300002.
Interposition of a jejunal tube between the common bile duct and duodenum.
Five adult mongrel dogs of both sexes, weighing on average 22.3 kg (18 to 26.5 kg), were used. Obstructive jaundice was induced by ligation of the distal common bile duct. After one week, a 2.5-cm long jejunal tube was fabricated from a segment of the loop removed 15 cm from the Treitz angle and interposed between the common bile duct and duodenum.
The animals presented good clinical evolution and no complications were observed. After 6 weeks, complete integration was noted between the bile duct mucosa, tube and duodenum and a significant reduction in total bilirubin and alkaline phosphatase was observed when compared to the values obtained one week after ligation of the common bile duct.
The jejunal tube interposed between the dilated bile duct and duodenum showed good anatomic integration and reduced total bilirubin and alkaline phosphatase levels in the animals studied.
在胆总管和十二指肠之间置入空肠管。
使用5只成年杂种犬，雌雄不限，平均体重22.3千克（18至26.5千克）。通过结扎胆总管远端诱导梗阻性黄疸。一周后，从距Treitz韧带15厘米处切除的一段肠袢制作一根2.5厘米长的空肠管，并将其置于胆总管和十二指肠之间。
动物临床进展良好，未观察到并发症。6周后，观察到胆管黏膜、空肠管和十二指肠之间完全融合，与胆总管结扎一周后测得的值相比，总胆红素和碱性磷酸酶显著降低。
在扩张的胆管和十二指肠之间置入的空肠管在研究的动物中显示出良好的解剖融合，并降低了总胆红素和碱性磷酸酶水平。
