title: Jaundice due to afferent loop obstruction following hepatectomy for a hilar cholangiocarcinoma.
abstract: A case of jaundice due to obstruction of Roux en Y-limb following hepatectomy for a hilar cholangiocarcinoma is presented. Percutaneous transhepatic biliary drainage improved the jaundice but promoted disseminated intravascular coagulopathy. Our limited experience suggested that afferent loops should be drained directly to prevent reflux of enteric contents into the biliary system.
authors.affiliation: Department of Surgery, Aichi Prefectural Owari Hospital, Ichinomiya, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Moriura
authors.forename: S
authors.initials: S
authors.lastname: Ikeda
authors.forename: A
authors.initials: A
authors.lastname: Kimura
authors.forename: Y
authors.initials: Y
authors.lastname: Iwatsuka
authors.forename: T
authors.initials: T
authors.lastname: Ikezawa
authors.forename: K
authors.initials: K
authors.lastname: Naiki
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000713:Anastomosis, Roux-en-Y / Q000009:adverse effects*; D001650:Bile Duct Neoplasms / Q000601:surgery*; D001653:Bile Ducts, Intrahepatic / Q000601:surgery*; D018281:Cholangiocarcinoma / Q000601:surgery*; D001651:Cholestasis, Extrahepatic / Q000209:etiology* / Q000628:therapy; D004211:Disseminated Intravascular Coagulation / Q000209:etiology; D004322:Drainage / Q000009:adverse effects; D005260:Female; D005500:Follow-Up Studies; D006498:Hepatectomy / Q000009:adverse effects*; D006801:Humans; D007583:Jejunum / Q000601:surgery; D009364:Neoplasm Recurrence, Local