title: [Anisoperistaltic Roux-en-Y reconstruction: rare cause for recurrent cholangitis after hepatic jejunostomy].
abstract: Stenosis of the hepatico-intestinal anastomosis after hepaticojejunostomy is a common cause for recurrent cholangitis. In the following report a patient's history of recurrent cholangitis after hepaticojejunostomy performed because of bile duct injury is presented. Preoperative imaging revealed a stricture of the hepatico-intestinal anastomosis and a massive dilatation of the Roux-en-Y loop, so that a draining disorder was assumed. Laparotomy showed an anisoperistaltic Roux-en-Y loop. When assessing the differential diagnosis of recurrent cholangitis after hepaticojejunostomy, anisoperistaltic reconstruction should be considered.
authors.affiliation: Klinik und Poliklinik für Visceral- und Gefässchirurgie, Universität zu Köln.
authors.forename: S A
authors.initials: SA
authors.lastname: Böhm
authors.forename: K T
authors.initials: KT
authors.lastname: Beckurts
authors.forename: P
authors.initials: P
authors.lastname: Landwehr
authors.forename: A H
authors.initials: AH
authors.lastname: Hölscher
mesh_terms: D000713:Anastomosis, Roux-en-Y / Q000009:adverse effects*; D001652:Bile Ducts / Q000293:injuries / Q000601:surgery; D002761:Cholangitis / Q000175:diagnosis* / Q000209:etiology*; D003937:Diagnosis, Differential; D006500:Hepatic Duct, Common / Q000601:surgery*; D006801:Humans; D007582:Jejunostomy / Q000379:methods*; D007583:Jejunum / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012008:Recurrence
vernacular_title: Anisoperistaltische Roux-Schlinge: Seltene Ursache rezidivierender Cholangitiden nach Hepaticojejunostomie.