hrvatski

Suvremeni principi kirurskog liječenja benignih bolesti papile Vateri

Dilemma and contrary opinions about the appropriateness of surgical treatment of benign disease of choledocho-duodenal junction have often appeared in medical references, especially in recent decades. Existence or absence of functional and organic pathologic changes in the papilla Vateri and sphincter of Oddi have been the subject, facing the contrary opinions at many professional meetings considering the possibility of surgical treatment of disorders in flowing the gall to choledocho-duodenal junction. Having analysed their own patients surgically treated owing to gall hold up on papilla Vateri, the authors would like to contribute in clearing this problem. The patients should regularly be checked up in the postoperative period and the correct passage through the papilla of Vater following the surgery should be achieved. Operative technique improvements, decreasing the number of early postoperative complications, have been described. The authors confirm that operative indications for surgical treatment in the case of disorders of gall flowing on papilla Vateri is still set too seldom, so that instead of sphincteroplasty, a bilio--digestive anastomosis are carried out too often. The advantage of sphincteroplasty over sphincterotomy has been proved by objective diagnostic and functional examinations.

Koledokus ; Kolestaza ; Ampula Vateri

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