Successful treatment of recurrent cholangitis complicating liver tx by Roux-en-Y limb lengthening

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To

cite this article: D. Vrochides,

S.A. Fischer, G. Soares, P.E. sey

Successful

treatment of recurrent cholangitis complicating liver

transplantation by Roux-en-Y limb lengthening

Transplant Infectious Disease (OnlineEarly Articles). doi:10.1111/j.1399-3062.2007.00221.x

Case

report

Successful

treatment of recurrent cholangitis complicating liver

transplantation by Roux-en-Y limb lengthening

D. Vrochides

Department of Surgery, Rhode

Island Hospital, ,

S.A.

Fischer Division of Infectious Diseases, ,

G. Soares Diagnostic Imaging, Brown Medical School,

Providence, Rhode Island, USA,

P.E. sey Department of Surgery, Rhode Island

Hospital,

·

Department

of Surgery, Rhode Island Hospital, Division of

Infectious Diseases, Diagnostic Imaging,

Brown Medical School, Providence, Rhode Island, USA

Abstract

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.

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