Benign anastomotic stenosis remains a common complication after bilojejunal anastomo-sis.Its pathogenesis includes the histology of bile duct,bile erosion,and inappropriate choice of surgical anastomosis or suture materials.Biliojejunal anastomotic stenosis can be determined preoperatively by MRCP,CT,and three-dimensional image reconstruction.Surgery remains treatment of choice for most cases,including surgical reconstruction and minimally invasive treatment,while the incidence of restenosis,residual stone,and reoperation is still high.Surgeons are still in search of optimal treatment modality to avoid anastomotic stenosis.In this article,we review the literature and summarize the latest clinical progress in the diagnosis and treatment of biliojejunal anastomotic stenosis combined with hepatic ductal stones.
关键词
胆道结石/胆肠吻合口/狭窄/临床诊治
Key words
Biliary stone/Bile-intestinal anastomosis/Stricture/Clinical diagnosis and treat-ment