dc.contributorUniversidade Estadual Paulista (UNESP)
dc.creatorTrentini, Eliane Amain
dc.creatorCrema, Eduardo
dc.creatorLlanos, Juan Carlos
dc.creatorLerco, Mauro Masson
dc.creatorMagna, Luiz Alberto
dc.creatorLeonardi, Luiz Sergio
dc.date2014-05-20T13:32:36Z
dc.date2016-10-25T16:50:54Z
dc.date2014-05-20T13:32:36Z
dc.date2016-10-25T16:50:54Z
dc.date2009-04-01
dc.date.accessioned2017-04-05T20:21:39Z
dc.date.available2017-04-05T20:21:39Z
dc.identifierHepatobiliary & Pancreatic Diseases International. Hangzhou: Zhejiang Univ Sch Medicine, v. 8, n. 2, p. 179-185, 2009.
dc.identifier1499-3872
dc.identifierhttp://hdl.handle.net/11449/11120
dc.identifierhttp://acervodigital.unesp.br/handle/11449/11120
dc.identifierWOS:000265080700011
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/858930
dc.descriptionBACKGROUND: 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.
dc.languageeng
dc.publisherZhejiang Univ Sch Medicine
dc.relationHepatobiliary & Pancreatic Diseases International
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectbiliary tract surgical procedures
dc.subjectmonti principle
dc.subjectobstructive jaundice
dc.titleBiliary tract reconstruction using jejunal tube: an experimental study in dogs
dc.typeOtro


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