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

Stavropol State Medical Academy
Pyatigorsk State Research Institute of Balneotherapeutics
Pyatigorsk State Pharmaceutical Academy