[Anisoperistaltic Roux-en-Y reconstruction: rare cause for recurrent cholangitis after hepatic jejunostomy].
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.
Böhm
S A
SA
Klinik und Poliklinik für Visceral- und Gefässchirurgie, Universität zu Köln.
Beckurts
K T
KT
Landwehr
P
P
Hölscher
A H
AH
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
Anisoperistaltische Roux-Schlinge: Seltene Ursache rezidivierender Cholangitiden nach Hepaticojejunostomie.