Document Detail

Sump syndrome complicating Roux-en-Y hepaticojejunostomy: case report and review of the literature.
MedLine Citation:
PMID:  8644004     Owner:  NLM     Status:  MEDLINE    
Sump syndrome is a rare complication of biliary-enteric anastomosis. Classically, the distal bile duct becomes obstructed by gastrointestinal debris after choledochoduodenostomy, resulting in cholangitis or, less commonly pancreatitis. Obstruction of the biliary tree by gastrointestinal contents after Roux-en-Y choledochojejunostomy or hepaticojejunostomy has not been described in the English-language literature. This report details the diagnostic and operative management of the first patient with sump syndrome after hepaticojejunostomy. The presumed pathophysiology was reflux of vegetable matter up the efferent limb, resulting in hepatic duct obstruction and cholangitis. The patient ultimately required complex choledochoscopic drainage of the intrahepatic biliary tree and revision of the previous Roux-en-Y hepaticojejunostomy.
P E Morrissey; G A Burns; S M Cohn
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgery     Volume:  119     ISSN:  0039-6060     ISO Abbreviation:  Surgery     Publication Date:  1996 Apr 
Date Detail:
Created Date:  1996-07-18     Completed Date:  1996-07-18     Revised Date:  2009-11-03    
Medline Journal Info:
Nlm Unique ID:  0417347     Medline TA:  Surgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  403-5     Citation Subset:  AIM; IM    
Department of Surgery, Yale Unversity School of Medicine, New Haven, Connecticut 06510, USA.
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MeSH Terms
Anastomosis, Roux-en-Y / adverse effects*
Cholangitis / etiology*,  therapy
Hepatectomy / adverse effects*
Jejunostomy / adverse effects*
Postoperative Complications / etiology,  therapy

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