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Certainly having Crohn's does rule out doing a roux-en-y procedure. As

for hepatic artery narrowing at the anastamosis, this is a common

surgical complication of any anastamosis of " tubes " , arteries, veins,

etc. It's a significant but limited risk in liver transplant surgery.

Significant because it can reduce blood flow and limited because it

doesn't happen all that often. When it does it can compromise the new

liver and it's function. Similarly the anastamosis of the bile duct to

the small bowel can stricture post-op and cause problems for the flow

of bile. Some people are more prone to this type of scarring when

healing. Sounds like has these issues. I hope they figure out a

way to deal with them that prevents her needing another transplant.

Aubrey, MD

PSC '81, UC '90, LTX '98, Recurrence '05

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