EVALUATION OF THE SURGICAL MANAGEMENT AND REMOTE OUTCOMES IN PATIENTS WITH POSTOPERATIVE BILIARY STRICTURES IN THE REPUBLIC OF MOLDOVA
Objectives. Surgical management of patients with benign biliary strictures and biliary lesions is a current issue for discussion and raises many scientific research directions. The purpose of this study was to systematize our experience in the treatment of benign biliary strictures, analyzing both i...
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| Format: | Article |
| Language: | English |
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“Francisc I. Rainer” Anthropology Institute of the Romanian Academy.
2017-07-01
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| Series: | Anthropological Researches and Studies |
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| Online Access: | http://www.journalstudiesanthropology.ro/en/evaluation-of-the-surgical-management-and-remote-outcomes-in-patients-with-postoperative-biliary-strictures-in-the-republic-of-moldova/a72/ |
| _version_ | 1811281492381270016 |
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| author | Alexandru Ferdohleb |
| author_facet | Alexandru Ferdohleb |
| author_sort | Alexandru Ferdohleb |
| collection | DOAJ |
| description | Objectives. Surgical management of patients with benign biliary strictures and biliary lesions is a current issue for discussion and raises many scientific research directions. The purpose of this study was to systematize our experience in the treatment of benign biliary strictures, analyzing both immediate and remote complex results.
Material and methods. Between 1989-2015 years, there were 203 hospitalized patients with benign biliary strictures in Surgery Department no. 2 of Public Institution, State Medical, and Pharmaceutical University (PI SMPhU) “Nicolae Testemitanu”. The study is conducted as part of postdoctoral research; thesis/dissertation title is Clinical-functional efficiency of modern surgical treatment of benign biliary strictures according to immediate and remote clinical results and was approved by the Science Council of PI SMPhU “Nicolae Testemiţanu” and Ethical Committee (EC) of Ministry of Health (MoH). Clinical evaluation included several consecutive steps: 1) setting the etiopathogenic diagnosis; 2) pre-operatory decompression of the biliary tree; 3) reconstructive surgical act. In the case of biliary strictures, after the initial assessment, biliodigestive derivations were performed according to the level of the obstacle, preferring the bilio-jejunal anastomosis with a Roux-en-Y excluded loop. The post-operatory mortality was 2.63%.
Conclusions. The iatrogenic stricture of bile duct has a complicated evolution, with many surgeries, requiring many hospitalizations. It should be endeavored to detect them in a timely manner and to prevent septic complications. In the first phase, biliary tree decompression will be used, and after decreasing the inflammatory process biliary-digestive reconstruction will be performed. These patients require a complex remote monitoring and analysis of health status. |
| first_indexed | 2024-04-13T01:34:42Z |
| format | Article |
| id | doaj.art-c4627f9ecab447828fbefed5ee309dcb |
| institution | Directory Open Access Journal |
| issn | 2360-3445 2360-3445 |
| language | English |
| last_indexed | 2024-04-13T01:34:42Z |
| publishDate | 2017-07-01 |
| publisher | “Francisc I. Rainer” Anthropology Institute of the Romanian Academy. |
| record_format | Article |
| series | Anthropological Researches and Studies |
| spelling | doaj.art-c4627f9ecab447828fbefed5ee309dcb2022-12-22T03:08:25Zeng“Francisc I. Rainer” Anthropology Institute of the Romanian Academy.Anthropological Researches and Studies2360-34452360-34452017-07-0171243510.26758/7.1.3EVALUATION OF THE SURGICAL MANAGEMENT AND REMOTE OUTCOMES IN PATIENTS WITH POSTOPERATIVE BILIARY STRICTURES IN THE REPUBLIC OF MOLDOVAAlexandru Ferdohleb0Public Institution State University of Medicine and Pharmacy “Nicolae Testemiţanu”, Chisinau, Republic of Moldova, Surgery Department no. 2, Laboratory of Reconstructive surgery of the digestive tractObjectives. Surgical management of patients with benign biliary strictures and biliary lesions is a current issue for discussion and raises many scientific research directions. The purpose of this study was to systematize our experience in the treatment of benign biliary strictures, analyzing both immediate and remote complex results. Material and methods. Between 1989-2015 years, there were 203 hospitalized patients with benign biliary strictures in Surgery Department no. 2 of Public Institution, State Medical, and Pharmaceutical University (PI SMPhU) “Nicolae Testemitanu”. The study is conducted as part of postdoctoral research; thesis/dissertation title is Clinical-functional efficiency of modern surgical treatment of benign biliary strictures according to immediate and remote clinical results and was approved by the Science Council of PI SMPhU “Nicolae Testemiţanu” and Ethical Committee (EC) of Ministry of Health (MoH). Clinical evaluation included several consecutive steps: 1) setting the etiopathogenic diagnosis; 2) pre-operatory decompression of the biliary tree; 3) reconstructive surgical act. In the case of biliary strictures, after the initial assessment, biliodigestive derivations were performed according to the level of the obstacle, preferring the bilio-jejunal anastomosis with a Roux-en-Y excluded loop. The post-operatory mortality was 2.63%. Conclusions. The iatrogenic stricture of bile duct has a complicated evolution, with many surgeries, requiring many hospitalizations. It should be endeavored to detect them in a timely manner and to prevent septic complications. In the first phase, biliary tree decompression will be used, and after decreasing the inflammatory process biliary-digestive reconstruction will be performed. These patients require a complex remote monitoring and analysis of health status.http://www.journalstudiesanthropology.ro/en/evaluation-of-the-surgical-management-and-remote-outcomes-in-patients-with-postoperative-biliary-strictures-in-the-republic-of-moldova/a72/biliary stricturesetiopathogenic diagnosishepaticojejunostomyreconstructive surgery actbiliary duct |
| spellingShingle | Alexandru Ferdohleb EVALUATION OF THE SURGICAL MANAGEMENT AND REMOTE OUTCOMES IN PATIENTS WITH POSTOPERATIVE BILIARY STRICTURES IN THE REPUBLIC OF MOLDOVA Anthropological Researches and Studies biliary strictures etiopathogenic diagnosis hepaticojejunostomy reconstructive surgery act biliary duct |
| title | EVALUATION OF THE SURGICAL MANAGEMENT AND REMOTE OUTCOMES IN PATIENTS WITH POSTOPERATIVE BILIARY STRICTURES IN THE REPUBLIC OF MOLDOVA |
| title_full | EVALUATION OF THE SURGICAL MANAGEMENT AND REMOTE OUTCOMES IN PATIENTS WITH POSTOPERATIVE BILIARY STRICTURES IN THE REPUBLIC OF MOLDOVA |
| title_fullStr | EVALUATION OF THE SURGICAL MANAGEMENT AND REMOTE OUTCOMES IN PATIENTS WITH POSTOPERATIVE BILIARY STRICTURES IN THE REPUBLIC OF MOLDOVA |
| title_full_unstemmed | EVALUATION OF THE SURGICAL MANAGEMENT AND REMOTE OUTCOMES IN PATIENTS WITH POSTOPERATIVE BILIARY STRICTURES IN THE REPUBLIC OF MOLDOVA |
| title_short | EVALUATION OF THE SURGICAL MANAGEMENT AND REMOTE OUTCOMES IN PATIENTS WITH POSTOPERATIVE BILIARY STRICTURES IN THE REPUBLIC OF MOLDOVA |
| title_sort | evaluation of the surgical management and remote outcomes in patients with postoperative biliary strictures in the republic of moldova |
| topic | biliary strictures etiopathogenic diagnosis hepaticojejunostomy reconstructive surgery act biliary duct |
| url | http://www.journalstudiesanthropology.ro/en/evaluation-of-the-surgical-management-and-remote-outcomes-in-patients-with-postoperative-biliary-strictures-in-the-republic-of-moldova/a72/ |
| work_keys_str_mv | AT alexandruferdohleb evaluationofthesurgicalmanagementandremoteoutcomesinpatientswithpostoperativebiliarystricturesintherepublicofmoldova |