Biliary tract reconstruction using jejunal tube: an experimental study in dogs

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dc.contributor.authorTrentini, Eliane Amain
dc.contributor.authorCrema, Eduardo
dc.contributor.authorLlanos, Juan Carlos [UNESP]
dc.contributor.authorLerco, Mauro Masson [UNESP]
dc.contributor.authorMagna, Luiz Alberto
dc.contributor.authorLeonardi, Luiz Sergio
dc.contributor.institutionUniversidade Estadual de Campinas (UNICAMP)
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2014-05-20T13:32:36Z
dc.date.available2014-05-20T13:32:36Z
dc.date.issued2009-04-01
dc.description.abstractBACKGROUND: 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.affiliationUniv Estadual Campinas, Fac Med Sci, Dept Surg, BR-17017240 Bauru, SP, Brazil
dc.description.affiliationUniv Fed Triangulo Mineiro, BR-17017240 Bauru, SP, Brazil
dc.description.affiliationSão Paulo State Univ Julio Mesquita Filho, Fac Med Botucatu, Dept Surg & Orthoped, BR-17017240 Bauru, SP, Brazil
dc.description.affiliationUnespSão Paulo State Univ Julio Mesquita Filho, Fac Med Botucatu, Dept Surg & Orthoped, BR-17017240 Bauru, SP, Brazil
dc.format.extent179-185
dc.identifier.citationHepatobiliary & Pancreatic Diseases International. Hangzhou: Zhejiang Univ Sch Medicine, v. 8, n. 2, p. 179-185, 2009.
dc.identifier.issn1499-3872
dc.identifier.lattes4728690596167767
dc.identifier.urihttp://hdl.handle.net/11449/11120
dc.identifier.wosWOS:000265080700011
dc.language.isoeng
dc.publisherZhejiang Univ Sch Medicine
dc.relation.ispartofHepatobiliary & Pancreatic Diseases International
dc.relation.ispartofjcr1.500
dc.relation.ispartofsjr0,711
dc.rights.accessRightsAcesso restrito
dc.sourceWeb of Science
dc.subjectbiliary tract surgical proceduresen
dc.subjectmonti principleen
dc.subjectobstructive jaundiceen
dc.titleBiliary tract reconstruction using jejunal tube: an experimental study in dogsen
dc.typeArtigo
dcterms.rightsHolderZhejiang Univ Sch Medicine
unesp.advisor.lattes4728690596167767
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt
unesp.departmentCirurgia e Ortopedia - FMBpt

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