关键词: 胰十二指肠切除术, 胆肠吻合口狭窄, 内镜逆行性胰胆管造影

Abstract: Treatment of biliary-enteric anastomotic stricture after pancreaticoduodenectomy        MEI Jia-wei, WENG Ming-zhe, SHU Yi-jun, et al. Department of General Surgery, Xin Hua Hospital, Shanghai Jiao Tong University School of Medicine; Shanghai Key Laboratory of Biliary Tract Disease Research, Shanghai 200092, China 
Corresponding author: GONG Wei, E- mail: gongwei@
xinhuamed.com.cn
Abstract    Biliary-enteric anastomotic structure is one of the main later complications after pancreaticoduodenectomy, which has a negative impact on the long-term efficacy of PD and should be given sufficient attention. The main risk factors for its occurrence are the diameter of the common hepatic duct before surgery, the suture method of the biliary-enteric anastomosis, the type of suture used for biliary-enteric anastomosis, and the blood supply of the bile duct stump. Endoscopic retrograde cholangiopancreatography is the preferred treatment method, and reoperation is only considered after both endoscopic and percutaneous intervention treatments fail. High quality completion of biliary-enteric anastomosis reconstruction is the key to preventing biliary-enteric anastomotic stricture after pancreaticoduodenectomy.

Key words: pancreaticoduodenectomy, biliary-enteric anastomotic stricture, endoscopic retrograde cholangiopancreatography