[Reoperation for recurrent cholangitis due to a defect in the hepatico-jejunal anastomosis].
We report three cases of postoperative recurrent cholangitis due to a defective hepaticojejunal anastomosis. Causal diseases were alveolar echinococcosis of the liver, alcoholic chronic pancreatitis, liver colorectal metastases. Clinical presentation included major cholestasis and cachexia. Imaging explorations showed that cholangitis was due to an inversion of the Roux-en-Y jejunal loop which had been disposed in a wrong position. Clinical improvement was remarkable after reoperation and replacement of the defective loop in the right position. This exceptional cause of postoperative cholangitis after Roux-en-Y hepaticojejunal anastomosis must be identified and treated by prompt restorative surgery.
Fédération des Spécialistes Digestives: Service de Chirurgie Digestive, Hôpital E-Herriot, Lyon.
A
A
Meziat-Burdin
L
L
Henry
C
C
Partensky
D000230:Adenocarcinoma / Q000150:complications / Q000556:secondary / Q000601:surgery; D000368:Aged; D000714:Anastomosis, Surgical; D002779:Cholestasis / Q000209:etiology / Q000601:surgery*; D003110:Colonic Neoplasms; D004444:Echinococcosis, Hepatic / Q000150:complications / Q000601:surgery; D005260:Female; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008099:Liver / Q000601:surgery*; D008113:Liver Neoplasms / Q000150:complications / Q000556:secondary / Q000601:surgery; D008297:Male; D019512:Pancreatitis, Alcoholic / Q000150:complications / Q000601:surgery; D012008:Recurrence; D012086:Reoperation; D017211:Treatment Failure
Réintervention pour angiocholite récidivante par défaut de montage d'anastomose hépatico-jéjunale.