Choledocholithiasis as a cause of obstructive jaundice after pancreatoduodenal resection

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Abstract

Obstructive jaundice is one of the main symptoms of diseases of hepatobiopancreatoduodenal region organs and occurs in 12.0-45.2% of cases. The article describes a clinical case of successful treatment of a patient with choledocholithiasis that occurred three years after gastropancreatoduodenal resection performed for pancreatic head cancer. Patients often die before they develop long-term postoperative complications, among which we can distinguish cicatricial strictures of biliodigestive anastomosis, which occur in 0.8% of cases, and the development of obstructive jaundice, which is primarily characteristic of the progression of the underlying disease or relapse. While analyzing the literature, we didn’t find any statistically significant data regarding the incidence of gallstone disease (cholelithiasis) as a cause of obstructive jaundice in the patients after pancreatoduodenal resection. Thus, the clinical case presented below is of particular interest.

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About the authors

Vyacheslav P. Zemlyanoy

North-Western State Medical University named after I.I. Mechnikov

Email: zeml.spb@mail.ru
ORCID iD: 0000-0003-2329-0023

doctor of science, professor, Head of the Department of Faculty Surgery named after I.I. Grekova

Russian Federation, Saint-Petersburg

Badri V. Sigua

North-Western State Medical University named after I.I. Mechnikov

Email: dr.sigua@gmail.com
ORCID iD: 0000-0002-4556-4913

doctor of science, professor of the Department of Faculty Surgery named after I.I. Grekova

Russian Federation, Saint-Petersburg

Dmitrii V. Gurzhii

North-Western State Medical University named after I.I. Mechnikov

Email: gurzhiydv@ro.ru

PhD, assistant of the Department of Faculty Surgery named after I.I. Grekova

Russian Federation, Saint-Petersburg

Alexey A. Kurkov

North-Western State Medical University named after I.I. Mechnikov

Email: dok.kurkov@gmail.com

PhD, assistant of the Department of Faculty Surgery named after I.I. Grekova

Russian Federation, Saint-Petersburg

Mariya A. Safonova

North-Western State Medical University named after I.I. Mechnikov

Email: mashaivanyukova@gmail.com

Resident of the Department of Faculty Surgery named after I.I. Grekova

Russian Federation, Saint-Petersburg

Evgeni A. Zakharov

North-Western State Medical University named after I.I. Mechnikov

Author for correspondence.
Email: dr.zakharovea@gmail.com
ORCID iD: 0000-0002-9569-8485
SPIN-code: 2649-1050

Resident of the Department of Faculty Surgery named after I.I. Grekova

Russian Federation, Saint-Petersburg

Kirill V. Fetisov

North-Western State Medical University named after I.I. Mechnikov

Email: tcv@inbox.ru

PhD, associate professor t of the Department of Faculty Surgery named after I.I. Grekova

Russian Federation, Saint-Petersburg

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Supplementary files

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2. Fig. 1. The common bile duct is taken on hold. The collapsed gull-bladder (intraoperative photo)

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3. Fig. 2. Calculus extracted from the stump of the common bile duct

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4. Fig. 3. Fistulography: 1 — the inflow of contrast in the jejunum through cholecystoeunoanastomosis; 2 — the inflow of contrast in the jejunum through choledochoeunoanastomosis

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Copyright (c) 2020 Zemlyanoy V.P., Sigua B.V., Gurzhii D.V., Kurkov A.A., Safonova M.A., Zakharov E.A., Fetisov K.V.

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