@entity1087 in @entity1 of advanced @entity1086 requires palliation for the distressing symptoms of @entity111 and @entity255 . Intrahepatic segment III duct cholangiojejunostomy is a means for alleviating the obstruction with malignant porta block. The authors reviewed their experience with this procedure in 48 @entity1 of @entity1086 . All @entity1 had @entity1087 ; @entity111 was present in 44 (92%) and @entity255 in 14 (29%). The level of obstruction was determined preoperatively by percutaneous transhepatic cholangiography. In 32 @entity1 the block was below the level of the bifurcation of the right and left ducts, and 16 @entity1 had a block involving the confluence, isolating the two lobes of the liver. Following segment III cholangiojejunostomy, @entity111 was relieved in all and @entity255 in 86% of @entity1 . At the end of 6 weeks a significant fall in serum @entity648 and alkaline phosphatase levels was seen with both types of @entity3885 . Varying degrees of @entity158 relief was also noted in 75% of @entity1 . Segment III biliary bypass is an effective, one-time, reliable means of palliation for @entity1086 with @entity3885 . Its efficacy appears to depend on the duration and depth of the @entity1087 and on the anatomy of the biliary ductal system in the left hemiliver rather than on the type of @entity3885 .

Segment III cholangiojejunostomy for XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1087 :: ('MESH:D007565', 'Disease') :: ['jaundice', 'Jaundice'] @entity648 :: ('MESH:D001663', 'Chemical') :: ['bilirubin'] @entity3885 :: ('MESH:D008173', 'Disease') :: ['hilar obstruction'] @entity111 :: ('MESH:D011537', 'Disease') :: ['pruritus'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity1086 :: ('MESH:D005706', 'Disease') :: ['carcinoma of the gallbladder'] @entity255 :: ('MESH:D002761', 'Disease') :: ['cholangitis']
@entity1086 :: (MESH:D005706,Disease) :: ['carcinoma of the gallbladder']
