Clinical Diagnosis and Treatment of Retrograde Biliary Tract Infection after Bile Duct Jejunum Roux-en-y Anastomosis and Analysis of the Related Risky Factors
HE Xinwei
ZHAO Hui
WEN Jun
CHEN Shaoyi
LIU Xingmu
Abstract：Objective To investigate the clinical diagnosis and treatment of retrograde biliary tract infection after bile ducts jeju-num Roux-en-y anastomosis, and analyze the related risky factors of the infection. Methods The medical history data of 143 cases of patients with bile duct jejunum Roux-en-y anastomosis operated in our hospital from February 2015 to February 2013 were retro-spectively analyzed and the related risky factors of retrograde biliary tract infection after operation were analyzed by Logistic regression anlysis. Results The incidence of retrograde biliary tract infection after Roux-en-y anastomosis was 24. 5%. Of 35 patients, 30 ca-ses were cured after the active anti-infective therapy, and 5 patients were operated again due to the more serious condition of biliary tract but the recovery was satisfactory. Multivariate logistic regression analysis showed that the hole of anastomosis operation was less than or equal to 2 cm and that side-to-side anastomosis operation and combined diabetes were the independent risky factors of retro-grade biliary tract infection after bile duct jejunum Roux-en-y anastomosis ( P <0. 05 ) . Conclusions The diameter of the anansto-mosis hole, the way of anastomosis and the history of diabetes are the related factors of retrograde biliary tract infection after bile duct jejunum Roux-en-y anastomosis. Clinically, close attention should be drawn to high-risk patients, and timely effective anti-infective therapy can effectively relieve the disease.
Keywords：bile duct jejunum Roux-en-y anastomosisbiliary tract infectionrisk factors
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 55-57 )