Expansion of the treatment of bile duct

Symptoms attack treatment, to take two to three days fasting, to reduce the pancreatic and bile secretion, ease the pressure within the duct. Application to alleviate the spasm of pain, three to five days of antibiotics to prevent and control infection, and the corresponding symptomatic treatment, often to achieve the objective of alleviating symptoms. In view of its frequent attacks and complications, to timely treatment. (A) of drainage for individual severe cases, such as severe cirrhosis associated with obstructive jaundice, severe biliary tract infection, bile duct spontaneous perforation, the question condition improved after treatment for two. (B) cysts and intestinal within the drainage of cysts such as the duodenum anastomosis, because there are more complications, recurrent cholangitis, anastomotic stricture, stone formation, after the switch cyst jejunal Roux - en-Y-anastomosis, and on the design of various intestinal Jin-style counter-current operation, but there are still problems confluence of pancreatic bile, which took place after cholangitis or symptoms of pancreatitis, or even need surgery again, and postoperative Napster ended March with 410,000 persons reported cancerous wall. So now rarely used. (C) expansion of the bile duct with biliary reconstruction in recent years that have radical significance of the removal of biliary duct expansion and redevelopment of the site means to achieve removal of lesions, pancreatic bile diversion. Can be physical reconstruction of the bile duct, will be placed between the jejunum of the liver and duodenum, and plus or anti-reflux valve, or a liver of jejunal Roux-en-Y-anastomosis, the liver, 12 That intestinal anastomosis, can achieve good results. The main anastomotic must be large enough to ensure adequate drainage of bile. As for the expansion of the treatment of intrahepatic bile duct, liver, bile duct in the secondary expansion, the expansion of its cylindrical shape, often after resumption of normal. The case of cystic expansion is mixed, liver, bile duct drainage, no matter how much anastomotic, there are still intrahepatic cholestasis, infection resulting in a stone or cancer, the liver limited the expansion of cysts, the majority of people advocate Should be part and liver resection. Caroli disease treatment: the prevention and treatment of cholangitis as the main method of long-term application of broad-spectrum antibiotics, but treatment in general are not happy with. As more extensive disease, so treatment is often not successful. If lesions were limited to leaf feasible hepatectomy, but it was reported that those with less than 1 / 3 cases. Long-term prognosis very poor. After radical expansion of the bile duct, and even reached the pancreatic and bile diversion, but some are still frequent cases of abdominal pain, blood in the pancreas, such as increased amylase cholangitis or pancreatitis clinical manifestations, this expansion and intrahepatic bile duct and pancreatic The abnormal shape. The symptoms of fasting, anti-inflammatory, spasm, Lidan can be alleviated, over time, gradually extend the interval attack. Long-term follow-up 80 percent of cases were satisfied with the results.