Delayed Expulsion of biliary cast after hepaticojejunostomy for post-liver transplantation biliary stricture-better cut than canulate?
Pediatr Transplant
; 25(8): e14115, 2021 12.
Article
in En
| MEDLINE
| ID: mdl-34409710
ABSTRACT
BACKGROUND:
Biliary strictures after living donor liver transplantation (LDLT) are a significant cause of post-transplant morbidity. Endoscopic therapy is usually the first choice of treatment though surgical treatment may provide better biliary drainage.METHODS:
We report a case of LDLT performed in a child for acute liver failure who developed an anastomotic biliary stricture with biliary cast formation. We performed a Roux en Y hepaticojejunostomy to treat the stricture.RESULTS:
Allograft function improved after surgery with no further episodes of cholangitis. Two months after the surgery, the child passed a large biliary cast in the stools. This reiterates the advantage of wide biliary drainage provided through surgical therapy.CONCLUSIONS:
Surgery for biliary strictures following LDLT may provide superior long term biliary drainage- especially when biliary casts are present.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Postoperative Complications
/
Anastomosis, Roux-en-Y
/
Cholestasis
/
Liver Transplantation
Limits:
Female
/
Humans
/
Infant
Language:
En
Journal:
Pediatr Transplant
Journal subject:
PEDIATRIA
/
TRANSPLANTE
Year:
2021
Type:
Article
Affiliation country:
India