<症例>逆流防止弁付加肝門部空腸吻合による先天性胆道閉鎖症の治療経験

概要

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It is well known that ascending cholangitis is the most unfavorable complication after hepatic portoenterostomy for congenital biliary atresia. In a case reported here, the authors applied the jejunal anti-reflux valve to portoenterostomy to prevent the postoperative ascending cholangitis, according to Nakajou's modification of Kasai's operation. On the 7th postoperative day, the patient required to undergo laparotomy again for the postoperative adhesions-ileus. The authors noticed that the valve acted effectively for the prevention of intestinal regurgitation at the time of operation, and that no symptoms of ascending cholangitis were observed before and after the re-operation. Therefore, it seems reasonable to conclude that this procedure is available for the prevention of ascending cholangitis.
1988-12-25