TY - JOUR
T1 - Cholangiojejunostomy assisted by techniques of interventional radiology for a patient with recurrent jaundice after Kasai portoenterostomy
AU - Okubo, Ryuji
AU - Sasaki, Hideyuki
AU - Ota, Hideki
AU - Wada, Motoshi
AU - Fukuzawa, Taichi
AU - Kudo, Hironori
AU - Ando, Ryo
AU - Endo, Yuki
AU - Hashimoto, Masatoshi
AU - Sato, Kosuke
AU - Takase, Kei
AU - Nio, Masaki
N1 - Funding Information:
No funding or grant support.
Publisher Copyright:
© 2021 The Authors
PY - 2021/9
Y1 - 2021/9
N2 - A 10-month-old girl who had previously undergone Kasai portoenterostomy (KP) for biliary atresia was admitted because of recurrent jaundice. Intrahepatic bile duct (IHBD) dilation was observed in the lateral segment close to the umbilical portion of the portal vein on ultrasonography and computed tomography. Although percutaneous transhepatic biliary drainage by a radiologist alleviated jaundice, internal fistula formation, which was subsequently attempted, was unsuccessful due to the narrow and complicated IHBD morphology. Therefore, side-to-side cholangiojejunostomy between the dilated IHBD and jejunum of the Roux-en-Y limb was performed using intraoperative interventional radiology techniques. The patient's postoperative course was uneventful. In patients with recurrent jaundice after KP, especially that associated with solitary IHBD dilatation, a high success rate of achieving good bile flow can be expected using current techniques.
AB - A 10-month-old girl who had previously undergone Kasai portoenterostomy (KP) for biliary atresia was admitted because of recurrent jaundice. Intrahepatic bile duct (IHBD) dilation was observed in the lateral segment close to the umbilical portion of the portal vein on ultrasonography and computed tomography. Although percutaneous transhepatic biliary drainage by a radiologist alleviated jaundice, internal fistula formation, which was subsequently attempted, was unsuccessful due to the narrow and complicated IHBD morphology. Therefore, side-to-side cholangiojejunostomy between the dilated IHBD and jejunum of the Roux-en-Y limb was performed using intraoperative interventional radiology techniques. The patient's postoperative course was uneventful. In patients with recurrent jaundice after KP, especially that associated with solitary IHBD dilatation, a high success rate of achieving good bile flow can be expected using current techniques.
KW - Biliary atresia
KW - Cholangiojejunostomy
KW - Interventional radiology
UR - http://www.scopus.com/inward/record.url?scp=85108890473&partnerID=8YFLogxK
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U2 - 10.1016/j.epsc.2021.101961
DO - 10.1016/j.epsc.2021.101961
M3 - Article
AN - SCOPUS:85108890473
VL - 72
JO - Journal of Pediatric Surgery Case Reports
JF - Journal of Pediatric Surgery Case Reports
SN - 2213-5766
M1 - 101961
ER -