Early biliary stenosis following a biliary-digestive anastomosis is related to the surgical procedure, while late stenosis with inflammatory phenomena, biliary leakage fibrosis, vascular injury ischemia, jejuno-biliary reflux, or septic cholangitis due to the wing phenomenon blind. The definitive treatment is a new liver-jejunal anastomosis. The present case involves a 39 year old patient who was operated on for the bismuth 4 bile duct injury caused during laparoscopic cholecystectomy treated by Liver-jejunum-anastomosis Termino-lateral with Roux-en-Y after surgery presented cholangitis episodes a repeat for that reason was referred to the Hospital Pablo Arturo Suarez de Quito where the case was resolved by modifying the surgical technique of anastomosis Termino-lateral to Term-terminal procedure that is performed in patients treated in this hospital for having demonstrated lower Postoperative morbidity compared to the classical technique.

/pdf/estenosis-de-anastomosis-hepatico-yeyunal-termino-lateral-en-5atjmbsfg9.pdf

Estenosis de Anastomosis Hepático-yeyunal Termino- Lateral en Y de Roux tratada mediante reconfección y modificación de la técnica de Anastomosis a Termino-Terminal

Las lesiones iatrogenicas de  las vias biliares son un acontecimiento poco frecuente dentro del acto quirurgico, pero cuando esta se presenta tiene  graves consecuencias en la salud del paciente, a quien generalmente se le realiza una intervencion de tipo electiva cuando aun no tiene sintomatologia, sin esperar formar  parte de  una estadistica  llena de repercusiones medicas, costos, controversias legales, y de limitaciones organico laborales. Se presento el caso en un paciente del sexo masculino de 56 anos de edad, el cual tuvo que ser  transferido al Hospital  Regional del IESS Dr. Teodoro Maldonado Carbo, tras realizarse una colecistectomia convencional en la que sufrio iatrogenia de vias biliares, con todas las complicaciones que esto conlleva, por lo que permanecio ingresado en la mencionado hospital, debiendo ser  reintervenido por dos ocasiones a fin de conseguir la reconstruccion biliodigestiva necesaria para obtener un resultado curativo o al menos disminuir el impacto de la sintomatologia.

/pdf/iatrogenia-de-vias-biliares-reconstruccion-quirurgica-41dy0qiyvy.pdf

Iatrogenia de vías biliares, reconstrucción quirúrgica biliodigestiva, reporte de un caso

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Iatrogenia de vías biliares, reconstrucción quirúrgica biliodigestiva, reporte de un caso