EFFECTIVENESS OF AN INTUSSUSCEPTIVE ANTIREFLUX VALVE TO PREVENT ASCENDING CHOLANGITIS AFTER HEPATIC PORTOJEJUNOSTOMY IN BILIARY ATRESIA

被引:26
作者
SAEKI, M [1 ]
NAKANO, M [1 ]
HAGANE, K [1 ]
SHIMIZU, K [1 ]
机构
[1] NATL CHILDRENS HOSP,DEPT PATHOL,SETAGAYA KU,TOKYO 154,JAPAN
关键词
BILIARY ATRESIA; ANTIREFLUX VALVE;
D O I
10.1016/0022-3468(91)90142-G
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
An intussusceptive antireflux valve was created in the Roux-en-Y loop at the same time as the hepatic portojejunostomy (Kasai procedure) for the purpose of preventing ascending cholangitis in 14 new cases of biliary atresia and in 6 long-term survivors of the Kasai operation after episodes of ascending cholangitis. Ascending cholangitis did not develop in any of the 13 new patients who showed bile outflow following a modified Kasai procedure with antireflux valve nor in 5 of 6 patients who had secondary valve implementation. Postmortem examination of a patient with a valve who died 2 years 3 months after surgery showed that the structure of the valve was intact and that the valve still was quite effective as an antireflux mechanism. © 1991.
引用
收藏
页码:800 / 803
页数:4
相关论文
共 11 条
[1]   EXTENDED DISSECTION OF THE PORTAHEPATIS AND CREATION OF AN INTUSSUSCEPTED ILEOCOLIC CONDUIT FOR BILIARY ATRESIA [J].
ENDO, M ;
KATSUMATA, K ;
YOKOYAMA, J ;
MORIKAWA, Y ;
IKAWA, H ;
KAMAGATA, S ;
NAKANO, M ;
NIRASAWA, Y ;
UENO, S .
JOURNAL OF PEDIATRIC SURGERY, 1983, 18 (06) :784-793
[2]  
Kasai M, 1974, Prog Pediatr Surg, V6, P5
[3]  
KASAI M, 1972, 5TH M PAC ASS PED SU
[4]  
LILLY JR, 1978, J PEDIATR SURG, V14, P301
[5]   INTUSSUSCEPTION-TYPE ANTIREFLUX VALVE IN THE ROUX-EN-Y LOOP TO PREVENT ASCENDING CHOLANGITIS AFTER HEPATIC PORTOJEJUNOSTOMY [J].
NAKAJO, T ;
HASHIZUME, K ;
SAEKI, M ;
TSUCHIDA, Y .
JOURNAL OF PEDIATRIC SURGERY, 1990, 25 (03) :311-314
[6]  
Ohi R, 1987, BILIARY ATRESIA, P125
[7]  
OHNISHI S, 1979, ARCH JAP CHIR, V48, P173
[8]  
SAWAGUCHI S, 1968, 68TH M JAP SURG SOC
[9]   TREATMENT OF BILIARY ATRESIA - A STUDY OF OUR OPERATIVE RESULTS [J].
SURUGA, K ;
MIYANO, T ;
KITAHARA, T ;
KOJIMA, Y ;
FUKUDA, Y .
JOURNAL OF PEDIATRIC SURGERY, 1981, 16 (04) :621-626
[10]  
TANAKA K, 1987, BILIARY ATRESIA, P169