{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T03:11:12Z","timestamp":1762917072998},"reference-count":0,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2000,1,1]],"date-time":"2000-01-01T00:00:00Z","timestamp":946684800000},"content-version":"vor","delay-in-days":2191,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HPB Surgery"],"published-print":{"date-parts":[[1994,1]]},"abstract":"<jats:p>Debate continues regarding the optimal management of irresectable malignant proximal biliary\nobstruction. Controversy exists concerning the ability of unilateral drainage to provide adequate\nbiliary decompression with tumors that have occluded the communication between the right and\nleft hepatic ductal systems.<\/jats:p><jats:p>Between October 1986 and October 1989, 18 patients with malignant proximal biliary\nobstruction were treated by an intrahepatic biliary enteric bypass. Patients were divided into two\ngroups based on the presence or absence of a communication between the right and left biliary\nsystems. In Group I (<jats:italic>n<\/jats:italic> = 9), there was free communication; and in Group II (<jats:italic>n<\/jats:italic> = 9) there was no\ncommunication. There were two perioperative deaths (11%) one due to persistent cholangitis\nand the other to myocardial insufficiency both with one death in each group. The median\nsurvival (excluding perioperative deaths) was 5.6 months. Comparison of pre\u2010 and postoperative\nserum levels of bilirubin and alkaline phosphatase showed a significant decrease in each group,\nbut no difference between the groups in the size of the reduction. Sixteen patients survived at least\nthree months and the palliation was judged as excellent in eight, fair in five, and unchanged\nin three.<\/jats:p><jats:p>These results demonstrate the effectiveness of biliary enteric bypass regardless of communication\nbetween the left and right biliary ductal systems.<\/jats:p>","DOI":"10.1155\/1994\/17262","type":"journal-article","created":{"date-parts":[[2007,9,13]],"date-time":"2007-09-13T09:19:26Z","timestamp":1189675166000},"page":"27-31","source":"Crossref","is-referenced-by-count":37,"title":["The Effect of Communication Between the Right and Left Liver on the Outcome of Surgical Drainage for Jaundice due to Malignant Obstruction at the Hilus of the Liver"],"prefix":"10.1155","volume":"8","author":[{"given":"H. U.","family":"Baer","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Rhyner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. C.","family":"Stain","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P. W.","family":"Glauser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. R.","family":"Dennison","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G. J.","family":"Maddern","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L. H.","family":"Blumgart","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1994,1]]},"container-title":["HPB Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/archive\/1994\/017262.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/hpb\/1994\/017262.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/1994\/17262","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T16:46:18Z","timestamp":1723135578000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/1994\/17262"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,1]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1994,1]]}},"alternative-id":["10.1155\/1994\/17262"],"URL":"https:\/\/doi.org\/10.1155\/1994\/17262","archive":["Portico"],"relation":{},"ISSN":["0894-8569","1607-8462"],"issn-type":[{"type":"print","value":"0894-8569"},{"type":"electronic","value":"1607-8462"}],"subject":[],"published":{"date-parts":[[1994,1]]}}}