Patients with obstructive jaundice are prone to septic complications after biliary tract operations. Restoring bile flow to the intestine may help to decrease the complication rate. The present study is aimed at evaluating the effect of biliary decompression on bacterial translocation in jaundiced rats. Sixty-six male Sprague-Dawley rats were randomly allocated to six groups subjected to common...

background: patients with malignant obstruction of the biliary tract suffer from progressive jaundice and purities, and if the obstruction is not relieved they will die from cholangitis, septicaemia or liver failure. the correct choice between many operative and non-operative procedures available to relive jaundice is not yet determined. unresectable disease (perihilar cholangiocarcinoma) found...

Twenty-five patients with primary biliary cirrhosis undergoing portal decompression have been followed up for a mean of 51 months. Five patients with decompensated cirrhosis died postoperatively. Overall five year survival of 66% is comparable with that for other forms of cirrhosis but none of the long-term survivors, including three patients with a precirrhotic stage of primary biliary cirrhos...

A. (1993) The current role of U tubes for benign andmalignant biliary obstruction. Objective. The recent experience with U tubes at Rush-Presbyterian-St. Lukes Medical Center was reviewed in order to assess their current role in hepatobiliary surgery. Summary Background Data. Transhepatic intubation by a variety of methods has been used routinely for biliary decompression and inhibition of anas...

We examined the effect of prolonged bile duct obstruction, and subsequent biliary decompression, on biochemical and metabolic parameters, using a reversible jaundice model in male Fischer 344 rats. The animals were studied after biliary obstruction for varying periods (4 days, one week, and two weeks) and following decompression. They were sacrificed one or two weeks following decompression. Al...

Summary. Objective. To develop an algorithm for choosing the method of biliary decompression and to determine optimal biliodigestive anastomosis in pancreaticoduodenal resection (PDR).
 Materials methods. Pancreaticoduodenal was performed 302 patients with obstructive diseases zone. Biliary 62 (20,5 %) patients, following methods were used: percutaneous perhepatic cholangiodrainage, endosc...

Introduction:Even with the emergence of laparoscopic common bile duct exploration, open common bile duct exploration remains the procedure of choice for the surgical management of choledocholithiasis in developing countries. Open CBD exploration is usually followed by a T-tube insertion whichhas been proven to be safe and effective for post-operative biliary decompression. However, the use of T...

BACKGROUND To date, the management of common bile duct stones (CBDs) is still controversial. If laparoscopic exploration is performed and biliary decompression is needed after stone removal, the placement of a laparoscopic transpapillary stent shows promising results in avoiding T-tube-related complications. METHODS Between January 2007 and May 2012, a series of 48 patients who underwent bili...

The Tokyo Guidelines of 2007 (TG07) described the techniques and recommendations of biliary decompression in patients with acute cholangitis. TG07 recommended that endoscopic transpapillary biliary drainage should be selected as a first-choice therapy for acute cholangitis because it is associated with a low mortality rate and shorter duration of hospitalization. However, TG07 did not include t...