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Articolul urmator |
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Ultima descărcare din IBN: 2022-10-24 09:43 |
Căutarea după subiecte similare conform CZU |
616.366-089.844-036-091.8 (1) |
Patologia sistemului digestiv. Tulburări ale tubului alimentar (1745) |
SM ISO690:2012 FERDOHLEB, Alina. The patients with postoperative biliary strictures: evaluation of the surgical management and remote outcomes. In: Moldavian Journal of Pediatric Surgery, 2017, nr. 1, pp. 26-31. ISSN 2587-3210. |
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Moldavian Journal of Pediatric Surgery | ||||||
Numărul 1 / 2017 / ISSN 2587-3210 /ISSNe 2587-3229 | ||||||
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CZU: 616.366-089.844-036-091.8 | ||||||
Pag. 26-31 | ||||||
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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 benig 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, bilio digestive derivations were performed according to the level of the obstacle, preferring the bilio-jejunal on isolated loop en Y a la Roux. 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. |
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Cuvinte-cheie biliary strictures, etiopathogenic diagnosis, hepaticojejunostomy, reconstructive surgery act |
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