Reddy K R, Hutson D G, Russell E, Jeffers L J, Schiff E R
Department of Medicine, University of Miami School of Medicine, Florida.
Gastroenterology. 1988 Nov;95(5):1383-7. doi: 10.1016/0016-5085(88)90376-9.
A 37-yr-old white woman from Australia presented with ascending cholangitis and jaundice and was found to have multiple brown, "earthy" pigment stones in the biliary tree, including the segmental ducts. Removal of these stones was accomplished via a subcutaneously placed afferent jejunal limb of a choledochojejunostomy using balloon dilators. The jejunal conduit also served as an access for periodic removal of newly formed stones. This combined surgical and radiologic approach is an effective way of removing recurring pigment stones. The afferent jejunal limb can also be used to perfuse dissolution agents, if necessary, via catheters placed in the biliary tree.
一名来自澳大利亚的37岁白人女性因上行性胆管炎和黄疸就诊，被发现在胆管树（包括节段性胆管）中有多个褐色的“泥土样”色素结石。通过使用球囊扩张器，经皮下放置的胆总管空肠吻合术的输入空肠袢取出了这些结石。空肠导管还作为定期取出新形成结石的通道。这种手术和放射学相结合的方法是去除复发性色素结石的有效途径。如有必要，输入空肠袢还可通过放置在胆管树中的导管灌注溶石剂。
