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

页码：602 / 604

页数：3

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