Hutson D G, Russell E, Schiff E, Levi J J, Jeffers L, Zeppa R
Ann Surg. 1984 Jun;199(6):637-47. doi: 10.1097/00000658-198406000-00002.
The problem of recurrent strictures following repair for bile duct injuries or in patients with sclerosing cholangitis is well recognized. For the most part, the recurrent problems have required repeated operations. The possibility of controlling the recurrent strictures by dilatation has been postulated, but repeated dilatations obviously require simple access to the entire biliary tree. We have found that stomatization of the afferent limb of a choledochojejunostomy or hepaticojejunostomy provides ready access to the biliary tree through which strictures can be readily traversed and dilated. Our early results with this procedure suggest that long-term patency can be expected following dilatation of these strictures.
胆管损伤修复术后或硬化性胆管炎患者反复出现狭窄的问题已得到充分认识。在大多数情况下，反复出现的问题需要反复手术。有人提出通过扩张来控制反复出现的狭窄，但反复扩张显然需要能简便地进入整个胆管系统。我们发现，胆总管空肠吻合术或肝管空肠吻合术输入袢的口腔化可提供进入胆管系统的便捷途径，通过该途径可轻松穿过并扩张狭窄部位。我们采用此方法的早期结果表明，扩张这些狭窄后有望实现长期通畅。
