Document Detail

Novel bile duct repair for bleeding biliary anastomotic varices: case report and literature review.
MedLine Citation:
PMID:  15985240     Owner:  NLM     Status:  MEDLINE    
An unusual case of variceal bleeding at the site of a biliary enteric anastomosis is presented. This entity can occur when a high-to-low pressure gradient forms in a variceal field. In this case the anastomotic site was the location of the pressure gradient from the high-pressure small bowel varices to the low-pressure biliary tract. This was successfully treated by disconnection of the anastomosis. The resulting biliary defect was patched with small intestinal submucosa, which functioned successfully as a scaffold for biliary epithelial ingrowth.
Andrew M Smith; R Matthew Walsh; J Michael Henderson
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract     Volume:  9     ISSN:  1091-255X     ISO Abbreviation:  J. Gastrointest. Surg.     Publication Date:    2005 Jul-Aug
Date Detail:
Created Date:  2005-06-29     Completed Date:  2006-01-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9706084     Medline TA:  J Gastrointest Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  832-6     Citation Subset:  IM    
Department of General Surgery, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
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MeSH Terms
Anastomosis, Roux-en-Y / adverse effects
Biliary Tract Surgical Procedures / adverse effects*,  methods
Cholestasis / etiology,  therapy
Chronic Disease
Follow-Up Studies
Gastrointestinal Hemorrhage / etiology*,  surgery*
Jejunum / surgery
Laparotomy / methods
Pancreatitis / complications,  diagnosis,  therapy
Reoperation / methods
Risk Assessment
Tomography, X-Ray Computed
Treatment Outcome
Varicose Veins / etiology,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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