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The most relevant laboratory datum in the series was a persistently high serum alkaline phosphatase level. Long tapering of the terminal common bile duct was the characteristic radiological sign in 45 of our patients. In five of the 18 cases compression of the terminal bile duct was due to cephalic pseudocysts. Hepaticojejunostomy-en-Y was the type of drainage chosen in 16 cases, and an end-to-side technique was used in 15 patients. Side-to-side choledochoduodenostomy was performed in two cases. In 14 patients, biliary drainage was associated with other surgical procedures on the pancreatic parenchyma. No postoperative complications due to the biliary drainage occurred in this series.<\/jats:p>","DOI":"10.1002\/bjs.1800761107","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T12:17:25Z","timestamp":1172924245000},"page":"1129-1131","source":"Crossref","is-referenced-by-count":5,"title":["Surgical treatment of chronic pancreatic cholangiopathy"],"prefix":"10.1093","volume":"76","author":[{"given":"L","family":"Pereira-Lima","sequence":"first","affiliation":[{"name":"Department of Surgery, Funda\u00e7\u00e3o Faculdade Federal de Ci\u00eancias M\u00e9dicas, Santa Casa Hospital , Porto Alegre,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A N","family":"Kalil","sequence":"additional","affiliation":[{"name":"Department of Surgery, Funda\u00e7\u00e3o Faculdade Federal de Ci\u00eancias M\u00e9dicas, Santa Casa Hospital , Porto Alegre,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T J","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Surgery, Funda\u00e7\u00e3o Faculdade Federal de Ci\u00eancias M\u00e9dicas, Santa Casa Hospital , Porto Alegre,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1989,11,1]]},"reference":[{"key":"2024092806225238300_bib1","first-page":"223","volume-title":"Complications of Pancreatitis","author":"Bradley","year":"1982"},{"key":"2024092806225238300_bib2","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1136\/gut.19.9.851","article-title":"Cholestasis and lesions of the biliary tract in chronic pancreatitis","volume":"19","author":"Sarles","year":"1978","journal-title":"Gut"},{"key":"2024092806225238300_bib3","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1001\/archsurg.1984.01390170091018","article-title":"The spectrum of biliary tract obstruction from chronic pancreatitis","volume":"119","author":"Aranha","year":"1984","journal-title":"Arch Surg"},{"key":"2024092806225238300_bib4","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1002\/bjs.1800690117","article-title":"Stenosis of the common bile duct in chronic pancreatitis","volume":"69","author":"Wisloof","year":"1982","journal-title":"Br J Surg"},{"key":"2024092806225238300_bib5","doi-asserted-by":"crossref","first-page":"245","DOI":"10.7326\/0003-4819-58-2-245","article-title":"Obstructive jaundice as a complication of pancreatitis","volume":"58","author":"Weinstein","year":"1963","journal-title":"Ann Intern Med"},{"key":"2024092806225238300_bib6","first-page":"267","article-title":"Tratamento cirurgico da pancreatite cronica (experiencia de 81 casos)","volume":"32","author":"Machado","year":"1977","journal-title":"Rev Hosp Clin Fac Med Sao Paulo"},{"key":"2024092806225238300_bib7","first-page":"241","article-title":"A study of autopsies upon 116 patients with acute pancreatitis","volume":"143","author":"Storck","year":"1976","journal-title":"Surg Gynecol Obstet"},{"key":"2024092806225238300_bib8","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1002\/bjs.1800740803","article-title":"Surgical treatment of chronic pancreatitis: an overview","volume":"74","author":"Moosa","year":"1987","journal-title":"Br J Surg"},{"key":"2024092806225238300_bib9","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1097\/00000658-197811000-00007","article-title":"Hyperbilirubinemia in inflammatory pancreatic disease: natural history and management","volume":"188","author":"Bradley","year":"1978","journal-title":"Ann Surg"},{"key":"2024092806225238300_bib10","first-page":"303","article-title":"Chronic pancreatitis. 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