How about after choledochojejunostomy

Update Date: 2024-08-23 Source: Network

summary

The common bile duct and jejunum belong to the digestive system. When there are problems in the common bile duct and jejunum, people in Guanda will definitely have various abdominal discomfort, which will affect everyone's work and life. Now let's popularize science about how to do after choledochojejunostomy.

How about after choledochojejunostomy

First: choledochojejunostomy requires that the y-arm of jejunum anastomosed with the common bile duct should be more than 30 cm away from the jejunum anastomotic orifice, so it is not easy to cause retrograde choledochitis caused by intestinal contents flowing into the common bile duct, and avoid cholelithiasis and accumulation at the distal end of the common bile duct.

Second, the gallbladder must be removed: after internal drainage, the biliary system has lost the role of sphincter regulation, and bile flows freely into the intestinal tract. The gallbladder becomes a diverticulum of the biliary system. If it is not removed, it is easy to cause inflammation. Clinical practice shows that residual stones, biliary stricture and other obstruction factors above the anastomotic orifice are the main causes of biliary symptoms recurrence after various internal drainage operations.

Third, T-tube placement and bile drainage for about two weeks can reduce exudation and avoid complications. If the stone above the anastomotic orifice can not be completely removed, if the stone is ready to be dissolved by perfusion after operation, or if the stone is narrow and can not be formed, if the stone is to be filled with a tube or expanded with a balloon tube, a drainage tube should also be placed. The mesenteric hiatus must be closed to prevent internal hernia.

matters needing attention

For the patients after choledochojejunostomy, rest is the most important, we must keep the patient's room quiet, let the patient's room as far as possible in the sterile area, to prevent the recurrence of infection, add more vitamins to the body, so that patients can better recover after surgery.