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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/7384
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dc.contributor.authorHurmuzache, A.-
dc.date.accessioned2020-02-06T13:06:39Z-
dc.date.available2020-02-06T13:06:39Z-
dc.date.issued2014-08-
dc.identifier.citationHURMUZACHE, Artur. Asistenţa chirurgicală a pacienţilor cu patologia căii biliare principale pe fundal de malrotaţie duodenală, asociată cu duodenostază. In: Curierul Medical. 2014, nr. 4(57), pp. 40-43. ISSN 1875-0666.en_US
dc.identifier.issn1857-0666-
dc.identifier.urihttp://repository.usmf.md/handle/20.500.12710/7384-
dc.descriptionLaboratory of Reconstructive Surgery of the Digestive Tract, Department of Surgery No 2 Nicolae Testemitsanu State University of Medicine and Pharmacy, Chisinau, the Republic of Moldovaen_US
dc.description.abstractBackground: In a number of patients (5-15% cases) who underwent endoscopic retrograde cholangiopancreatography, despite of reestablishing the biliary flow, biliary pathology persists in the form of mechanic jaundice, chronic cholangitis, choledocholithiasis. The cause is represented by the duodenobiliary reflux in duodenal malrotation associated with duodenostasis and the Vater papilla insufficiency. Material and methods: The study was performed on 110 patients during 11 years (1998-2009) with MBD pathology associated with duodenostasis. A new surgical strategy was implemented which excludes duodenobiliary reflux. It is performed by supraduodenal resection of the MBD and its implantation in an intestinal loop in “Y” a la Roux with the length of 80 cm. Results: This permitted reestablishing of biliary flow without entero-choledocian reflux, decreasing the risc of postoperation complications and a good socio-professional reintegration of these patients. Conclusions: Surgical techniques used before 1998 to treat patients with biliary pathology in duodenal malrotation associated with duodenostasis did not deal with the main aspect of this disease which is duodenobiliary reflux. The new technique which makes use of an intestinal loop in ”Y” a la Roux helped solve this problem.en_US
dc.language.isoroen_US
dc.publisherCurierul medicalen_US
dc.subjectduodenobiliary refluxen_US
dc.subjectduodenal malrotationen_US
dc.subjectcholedocholithiasisen_US
dc.subjectduodenostasisen_US
dc.titleSurgical treatment of the patients with pathology of the main biliary duct in duodenal malrotation associated with duodenostasisen_US
dc.title.alternativeAsistenţa chirurgicală a pacienţilor cu patologia căii biliare principale pe fundal de malrotaţie duodenală, asociată cu duodenostazăen_US
dc.typeArticleen_US
Appears in Collections:Curierul Medical, 2014, Vol. 57, Nr. 4

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