Biliary restoration using a combined endoscopic-percutaneous approach following 'orphan duct syndrome' after pediatric liver transplantation

Autor: Patrick B. Dennis, Elizabeth K. Nadeau, Jared White, Ricardo Yamada, D. Thor Johnson, B. Joseph Elmunzer, Vinayak Rohan, Nagraj Kasi, Satish N. Nadig
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Journal of Pediatric Surgery Case Reports, Vol 59, Iss , Pp 101509- (2020)
Druh dokumentu: article
ISSN: 2213-5766
DOI: 10.1016/j.epsc.2020.101509
Popis: A 2-year-old male with arginosuccinate lyase deficiency underwent left lateral segment liver transplantation complicated by “orphan duct syndrome (Celik et al., 2019) [1]” and biliary leak. After revision of the Roux-en-Y anastomosis, biliary drainage was still impaired. The excluded bile duct was diagnosed and a biliary restoration (or neo-duct) using a combined endoscopic and percutaneous approach was created by Gastroenterology and Interventional Radiology. To our knowledge, this case report represents the first combined endoscopic-percutaneous biliary restoration procedure performed in a pediatric patient.
Databáze: Directory of Open Access Journals