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Medical news
of the North Caucasus
Scientific journal
Mass media registration certificate dated December 7, 2006.
Series ПИ #ФС 77-26521.
Federal service for surveillance over non-violation of the legislation in the sphere of mass communications and protection of cultural heritage.
ISSN 2073-8137
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Biliodigestive shunting by a stricture of choledochus duct

[Notes from practice]
Mikhail Chepurnoy; Gennady Chepurnoy; Valery Katsupeev; Boris Rosin; Alexander Leiga;

A clinical case of congenital stenosis of choledochus duct, complicated by acute cholecystopancreatitis treated with cholecystostomy and peritoneal drainage in a 5-year old boy was described. In 11 months the walls of remained intact gall-bladder were used to form cholecysto-jejunum anastomosis with inter-jejuneal fistula according to Roux and with antireflux mechanism. A part of jejunum was used as a shunt to provide a bile bypass to the intestine in a parallel with functioning narrowed choledochus duct.

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2. Garipov R. M., Sabirzyanova D.Sh. Detskaya khirurgiya. – Pediatric Surgery. 2001;6:55.
3. Isakov Yu. F., Stepanov E. A., Krasovskaya T. V. Abdominal Surgery in Children. M.; 1988. 416 p.
4. Minaev S. V., Kirgizov I. V., Obedin A. N., Isaeva A. V. Medicinskij Vestnik Severnogo Kavkaza. – Medical News of North Caucasus. 2013;8 (2):30-33.
5. Chepurnoy G. I., Katsupeev V. B. A Single-Row Suture in the Abdominal Anastomoses in Children. Rostov on Don; 2014. 216 p.

Keywords: congenital anomaly of extra-hepatic bile ducts, cholecysto-jejunoanastomosis, children


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