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Successful treatment of recurrent cholangitis complicating liver transplantation by Roux‐en‐Y limb lengthening
Author(s) -
Vrochides D.,
Fischer S.A.,
Soares G.,
Morrissey P.E.
Publication year - 2007
Publication title -
transplant infectious disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.69
H-Index - 67
eISSN - 1399-3062
pISSN - 1398-2273
DOI - 10.1111/j.1399-3062.2007.00221.x
Subject(s) - medicine , liver transplantation , surgery , sepsis , biliary tract , transplantation , biliary drainage , reflux , gastroenterology , disease
Abstract: A 40‐year‐old male developed sepsis due to cholangitis. Five years earlier he underwent liver transplantation with hepaticojejunostomy. Over the past 18 months, he had 6 episodes of cholangitis. Radiologic studies demonstrated no biliary obstruction. Surgical intervention to eliminate bile reflux and stasis by lengthening the Roux‐en‐Y limb from 30 to 90 cm was curative. He has had no further episodes of cholangitis or hospitalization in the past 2 years. This case is the first description to our knowledge of a simple technique to treat recurrent cholangitis in patients with normal biliary anatomy, but inadequate biliary drainage following liver transplantation.