Late postoperative stenosis of the intermediate bile duct
Keywords:
common bile duct, surgery, jaundice, obstructive, etiologyAbstract
The authors report 3 observations of late stenosis of the intermediate extrahepatic hile duct, following operations in which the continuity of the bile duct was not interrupted. The clínica] signs occurred late and they suggested completely different pictures to trose found in the surgical act. All of them were fibro-sclerotic strictures of the hepato-cystic-choledochus confluence, non-neoplasic, and without any apparent etiological cause. They were solved by biliary-digestive derivation or end-to-end reconstruction of the bile duct when both ductal ends were of a similar caliber. A
tube was always placed through the anastomosis, to act as a stent of it
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