How about after choledochojejunostomy?
summary
Choledochojejunostomy is the most commonly used bile duct reconstruction surgery, the surgical effect is exact, the incidence of postoperative bile leakage, bile duct stenosis is small. How about after choledochojejunostomy? Let's share my experience with you.
How about after choledochojejunostomy?
How about after choledochojejunostomy? 1. Fasting, infusion, maintaining water electrolyte balance and nutritional support. 2. Antibiotics. 3. Gastrointestinal decompression should be removed after the recovery of gastrointestinal function.
How about after choledochojejunostomy? 4. Pay attention to the amount and color of abdominal drainage fluid. If there is bile like exudation, the abdominal drainage tube should be kept unobstructed. Generally, the drainage tube should be removed 5 days after operation. 5. The T-shaped tube can be clipped 10 days after operation and removed after angiography. It is usually placed for 14-21 days, or at least half a year as a support.
How about after choledochojejunostomy? In general, patients with biliary tract operation can eat a small amount of light liquid diet 24-48 hours after intestinal function recovery, and then gradually return to normal diet according to the patient's condition.
matters needing attention
1. In high-level choledochojejunostomy, there are many openings in the hilar bile duct. At this time, the adjacent bile ducts can be closed together and reshaped to form an opening for anastomosis with the raised intestinal tube. 2. Avoid mesenteric hematoma caused by suture relaxation in the process of making intestinal loop.
