Roux-en-Y choledochojejunostomy is the method of choice for biliary reconstruction in liver transplantation for primary sclerosing cholangitis

被引：54
|
作者：
Welsh, FKS [1 ]
Wigmore, SJ [1 ]
机构：
[1] Royal Infirm Edinburgh NHS Trust, Dept Transplant Surg, Edinburgh EH16 4SA, Midlothian, Scotland
来源：
TRANSPLANTATION | 2004年 / 77卷 / 04期
关键词：
D O I：
10.1097/01.TP.0000113807.74942.D2
中图分类号：
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号：
100102 ;
摘要：
Background. Opinion is divided regarding the optimal method of biliary reconstruction after liver transplantation for primary sclerosing cholangitis (PSC). Methods. We investigated biliary complications and graft and patient survival in all patients who underwent liver transplantation for PSC in the United Kingdom between 1994 and 2003. Results. Anastomotic leak rates were similar, but a significantly higher stricture rate was observed in patients who had a duct-to-duct reconstruction compared with those who underwent a Roux-en-Y anastomosis. Graft and patient survival were also markedly worse in patients with a duct-to-duct anastomosis. Conclusions. Roux-en-Y choledochojejunostomy is the method of choice for biliary reconstruction in liver transplantation for PSC.
引用
收藏
页码：602 / 604
页数：3
相关论文
共 50 条
  • [31] Bacteremia following liver biopsy in transplant recipients with Roux-en-Y choledochojejunostomy
    deDiegoLorenzo, A
    Romero, M
    Duran, FG
    Piqueras, B
    Asanza, CG
    Salcedo, M
    Santos, L
    Roldan, FP
    Valdecantos, E
    Calleja, J
    Cos, E
    Clemente, G
    REVISTA ESPANOLA DE ENFERMEDADES DIGESTIVAS, 1997, 89 (04) : 293 - 295
  • [32] Biliary reconstruction in pediatric live donor liver transplantation: duct-to-duct or Roux-en-Y hepaticojejunostomy
    Tanaka, Hideaki
    Fukuda, Akinari
    Shigeta, Takanobu
    Kuroda, Tatsuo
    Kimura, Takuya
    Sakamoto, Seisuke
    Kasahara, Mureo
    JOURNAL OF PEDIATRIC SURGERY, 2010, 45 (08) : 1668 - 1675
  • [33] Duct-to-duct biliary reconstruction following liver transplantation for primary sclerosing cholangitis
    Distante, V
    Farouk, M
    Kurzawinski, TR
    Ahmed, SW
    Burroughs, AK
    Davidson, BR
    Rolles, K
    TRANSPLANT INTERNATIONAL, 1996, 9 (02) : 126 - 130
  • [34] Biliary complications reconstructed by a Roux-en-Y loop for living donor liver transplantation
    Sato, K
    Fujimori, K
    Doi, H
    Satomi, S
    LIVER TRANSPLANTATION, 2004, 10 (06) : C47 - C47
  • [35] CHOLEDOCHOCHOLEDOCHOSTOMY BILIARY RECONSTRUCTION IN PRIMARY SCLEROSING CHOLANGITIS PATIENTS UNDERGOING LIVER-TRANSPLANTATION
    FRANCO, J
    SORRELL, MF
    LANGNAS, AN
    SHAW, BW
    HEPATOLOGY, 1995, 22 (04) : 1243 - 1243
  • [36] ROUX-EN-Y HEPATOJEJUNOSTOMY - A SAFE PROCEDURE FOR BILIARY ANASTOMOSIS IN LIVER-TRANSPLANTATION
    BISMUTH, H
    CASTAING, D
    GUGENHEIM, J
    TRAYNOR, O
    CIARDULLO, M
    TRANSPLANTATION PROCEEDINGS, 1987, 19 (01) : 2413 - 2415
  • [37] Evaluation of the Biliary Intestinal Limb of a Roux-en-Y Choledochojejunostomy Using Computed Tomographic Cholangiography
    Yeh, Benjamin M.
    Coakley, Fergus V.
    Webb, Emily M.
    Qayyum, Aliya
    Westphalen, Antonio C.
    Way, Lawrence W.
    JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 2008, 32 (06) : 886 - 889
  • [38] Successful treatment of recurrent cholangitis complicating liver transplantation by Roux-en-Y limb lengthening
    Vrochides, D.
    Fischer, S. A.
    Soares, G.
    Morrissey, P. E.
    TRANSPLANT INFECTIOUS DISEASE, 2007, 9 (04) : 327 - 331
  • [39] Untangling biliary reconstruction in liver transplants for primary sclerosing cholangitis
    Alwis, S. M.
    Fink, M. A.
    Furtado, R.
    Lee, E.
    Starkey, G.
    Jones, R.
    Perini, M. V.
    WORLD JOURNAL OF SURGERY, 2024, 48 (09) : 2253 - 2261
  • [40] ROUX-EN-Y ONLINE INTUSSUSCEPTION TO AVOID ASCENDING CHOLANGITIS IN BILIARY ATRESIA
    DONAHOE, PK
    HENDREN, WH
    ARCHIVES OF SURGERY, 1983, 118 (09) : 1091 - 1094
12345