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22.01.2021 | Original Article

Differences in post-operative complications after reconstruction for congenital biliary dilatation in a single institution-Roux-en-Y hepaticojejunostomy versus hepaticoduodenostomy -

verfasst von: Kei Ohyama, Shigeyuki Furuta, Hideki Shima, Shiho Tuji, Hideki Nagae, Kunihide Tanaka, Juma Obayashi, Kouhei Kawaguchi, Takuya Kawaguchi, Yuri Nishiya, Kousuke Kudou, Kouichi Kawase, Munechika Wakisaka, Hiroaki Kitagawa

Erschienen in: Pediatric Surgery International | Ausgabe 2/2021

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Abstract

Background

The standard surgical procedure for congenital biliary dilatation (CBD) consists of excision of extrahepatic bile duct and Roux-en-Y hepaticojejunostomy (HJ). However, alternative reconstructive operations for CBD includes hepaticoduodenostomy (HD). We compared postoperative complications and therapeutic outcomes of these two operations at our institution.

Methods

From 1981 to 2009, there were 23 traceable patients who underwent operation for CBD, They were divided into an HJ Group (n = 15) and an HD Group (n = 8). Demographic and outcome data were compared.

Results

There were no significant differences in postoperative complications (cholangitis, pancreatitis, and anastomotic stenosis) and current blood test data (AST, ALT, Total Bilirubin, Direct Bilirubin, Amylase) between the two groups. Current abdominal pain and carcinogenesis were not observed in either group. Intrahepatic stones occurred in one patient in each group, both > 25 years post-operation.

Conclusion

HD is considered to be an acceptable reconstruction method compared to HJ, based on our results. There has been a suggestion that inadequate diversion in HD might increase the risk of cholangiocarcinoma. To date, in this series, that has not happened.

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Titel: Differences in post-operative complications after reconstruction for congenital biliary dilatation in a single institution-Roux-en-Y hepaticojejunostomy versus hepaticoduodenostomy -
verfasst von: Kei Ohyama
Shigeyuki Furuta
Hideki Shima
Shiho Tuji
Hideki Nagae
Kunihide Tanaka
Juma Obayashi
Kouhei Kawaguchi
Takuya Kawaguchi
Yuri Nishiya
Kousuke Kudou
Kouichi Kawase
Munechika Wakisaka
Hiroaki Kitagawa
Publikationsdatum: 22.01.2021
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Surgery International / Ausgabe 2/2021
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-020-04790-1

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Differences in post-operative complications after reconstruction for congenital biliary dilatation in a single institution-Roux-en-Y hepaticojejunostomy versus hepaticoduodenostomy -