Biliary tract reconstruction using jejunal tube: an experimental study in dogs
dc.contributor.author | Trentini, Eliane Amain | |
dc.contributor.author | Crema, Eduardo | |
dc.contributor.author | Llanos, Juan Carlos [UNESP] | |
dc.contributor.author | Lerco, Mauro Masson [UNESP] | |
dc.contributor.author | Magna, Luiz Alberto | |
dc.contributor.author | Leonardi, Luiz Sergio | |
dc.contributor.institution | Universidade Estadual de Campinas (UNICAMP) | |
dc.contributor.institution | Universidade de São Paulo (USP) | |
dc.contributor.institution | Universidade Estadual Paulista (Unesp) | |
dc.date.accessioned | 2014-05-20T13:32:36Z | |
dc.date.available | 2014-05-20T13:32:36Z | |
dc.date.issued | 2009-04-01 | |
dc.description.abstract | BACKGROUND: To physiologically reconstruct the biliary tract, Crema et al suggested the application of the Monti principle to the biliary tract, already used in humans for the urinary tract. With this technique, a jejunal segment is transversely retubularized. This study aimed to evaluate the efficacy of jejunal tube interposition between the common bile duct and duodenum in dogs.METHODS: Thirteen dogs underwent a laparoscopic common bile duct ligature, followed by a biliodigestive connection by jejunal tube interposition after one week. The levels of glutamic-pyruvic and glutamic-oxalacetic transaminases, total bilirubins, alkaline phosphatase and gamma-glutamyltransferase were assessed before surgery and thereafter weekly until euthanasia, which was performed 6 weeks after biliodigestive connection.RESULTS: Data on 9 dogs were analyzed statistically. The dogs presented with obstructive jaundice after common bile duct ligature, as confirmed by biochemical examination. They showed a statistically significant reduction in cholestasis after biliodigestive connection by jejunal tube interposition and were healthy until the end of the experiment.CONCLUSION: A statistically significant reduction was seen in total bilirubin and canalicular enzymes (alkaline phosphatase and gamma-glutamyltransferase) in the 9 dogs 6 weeks after biliodigestive conviction by jejunal tube interposition. | en |
dc.description.affiliation | Univ Estadual Campinas, Fac Med Sci, Dept Surg, BR-17017240 Bauru, SP, Brazil | |
dc.description.affiliation | Univ Fed Triangulo Mineiro, BR-17017240 Bauru, SP, Brazil | |
dc.description.affiliation | São Paulo State Univ Julio Mesquita Filho, Fac Med Botucatu, Dept Surg & Orthoped, BR-17017240 Bauru, SP, Brazil | |
dc.description.affiliationUnesp | São Paulo State Univ Julio Mesquita Filho, Fac Med Botucatu, Dept Surg & Orthoped, BR-17017240 Bauru, SP, Brazil | |
dc.format.extent | 179-185 | |
dc.identifier.citation | Hepatobiliary & Pancreatic Diseases International. Hangzhou: Zhejiang Univ Sch Medicine, v. 8, n. 2, p. 179-185, 2009. | |
dc.identifier.issn | 1499-3872 | |
dc.identifier.lattes | 4728690596167767 | |
dc.identifier.uri | http://hdl.handle.net/11449/11120 | |
dc.identifier.wos | WOS:000265080700011 | |
dc.language.iso | eng | |
dc.publisher | Zhejiang Univ Sch Medicine | |
dc.relation.ispartof | Hepatobiliary & Pancreatic Diseases International | |
dc.relation.ispartofjcr | 1.500 | |
dc.relation.ispartofsjr | 0,711 | |
dc.rights.accessRights | Acesso restrito | |
dc.source | Web of Science | |
dc.subject | biliary tract surgical procedures | en |
dc.subject | monti principle | en |
dc.subject | obstructive jaundice | en |
dc.title | Biliary tract reconstruction using jejunal tube: an experimental study in dogs | en |
dc.type | Artigo | |
dcterms.rightsHolder | Zhejiang Univ Sch Medicine | |
unesp.advisor.lattes | 4728690596167767 | |
unesp.campus | Universidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatu | pt |
unesp.department | Cirurgia e Ortopedia - FMB | pt |
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