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Articolul urmator |
782 6 |
Ultima descărcare din IBN: 2020-06-15 12:01 |
Căutarea după subiecte similare conform CZU |
616.361–007.271–089.844 (1) |
Patologia sistemului digestiv. Tulburări ale tubului alimentar (1732) |
SM ISO690:2012 FERDOHLEB, Alexandru. Rezultatele la distanță și calitatea vieții pacienților ce au suportat operații reconstructive pentru stricturi biliare benigne. In: Sănătate Publică, Economie şi Management în Medicină , 2017, nr. 4(74), pp. 145-153. ISSN 1729-8687. |
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Sănătate Publică, Economie şi Management în Medicină | ||||||
Numărul 4(74) / 2017 / ISSN 1729-8687 /ISSNe 2587-3873 | ||||||
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CZU: 616.361–007.271–089.844 | ||||||
Pag. 145-153 | ||||||
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Rezumat | ||||||
The aim of the study was to evaluate remote outcomes of the treatment of benign biliary strictures (BBS) through RouxenY hepaticojejunostomosis, analysis of patients’ quality of life and elaboration of an optimal surgical approach for the future to ensure a functional long term bilio-enteral flux. Remote results were analyzed in 203 patients who underwent bilio-digestive reconstruction, aa. 1989-2017. There were investigated indicators of Quality of Life of the patients after the surgery, at different stages, based on SF–36 score. Results: the reconstructive treatment included the following surgical techniques: choledocojejunostomy – 86 (42,4%) cases, hepaticojejunostomy – 102 (50,2%) cases and bihepaticojejunostomy – 15 (7,4%) cases. Based on clinic-evolutive classification, were found following remote outcomes „very good” in 123 (60,6%) cases; „good” in 39 (19,2%) cases; „relative satisfactory” – 18 (8,9%) cases and „unsatisfactory” in 23 (11,3%) cases. SF-36 allowed a global evaluation of quality of life of the patient with biliary benign stricture, assessing meticulously any deviation of indicators at different clinical stages. The clinical efficiency of reconstructive interventions performed in 88,67% observations was demonstrated. Score SF-36 is a predictive factor for assessing QoL at patients with reconstructive interventions of BBS, allows clinicians to identify persons with risks of remote postoperative complications |
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Cuvinte-cheie quality life, choledocojejunostomy, bihepaticojejunostomy, benign biliary strictures, hepaticojejunostomy |
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