Palliative Bilio-Digestive Anastomosis for the Treatment of Bile Duct Obstruction Due to Pancreatic Head Tumors: Techniques and Therapeutic Results
Journal Title: Journal of Surgery Research and Practice - Year 2021, Vol 2, Issue 3
Abstract
Introduction: Biliary-digestive anastomosis are a fistulization between the bile ducts and the digestive tract that aims at permanent drainage of bile to the digestive tract in case of obstruction at the lower bile duct. The objective of our study was to describe the main techniques and postoperative results of biliary-digestive anastomoses in the treatment of pancreatic head tumors in the visceral surgery department of the Donka national hospital. Material and Methods: This is a descriptive cross-sectional study for 5 years duration from January 01, 2014 to December 31, 2019 which focused on the records of patients who underwent bilio-digestive anastomosis for pancreatic head tumors. Results: The frequency of biliary-digestive anastomosis was 0.38% (N=24). The mean age was 43.75 years with a male predominance of 54.17% (n=13): sex ratio 1.18. The clinical picture was dominated by jaundice, dark urine and stool discoloration in all cases. Abdominal Computed Tomographic (CT) scan and Ultrasound (US) were the reference examinations. The indications were tumors of the head of the pancreas 100% (n=24). The approach was median supra-umbilical in all cases. The types of anastomosis were dominated by choledochodenal anastomosis 54.16% (n=13) followed by cholecysto-jejunal 20.83% (n=5) and choledoco-jejunal 16.67% (n=4). The postoperative course was simple in 56% (n=14). Morbidity was 20% (parietal suppuration 12%, anastomotic biliary leakage 8%), and postoperative mortality 24% (n=6). The average hospital stay was 12.70 days. Conclusion: Due to the lack of endoscopic and angiographic methods for biliary drainage in our hospital, the bilio-digestive anastomosis keep their place in the palliative treatment of the tumors of the head of the pancreas in our context of practice.
Authors and Affiliations
Diakité SY*, Camara FL, Camara SN1, Baldé H, Barry H, Barry AM, Doumbouya B, Sow Z, Baldé AK, Camara AK, Diallo AD, Touré A, Diallo AT, Diallo B
Keywords
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- EP ID EP698916
- DOI http://dx.doi.org/10.46889/JSRP.2021.2305
- Views 49
- Downloads 0
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