当前位置： SCI文献检索 > JOURNAL OF PEDIATRIC SURGERY期刊下所有文献 > Multiple orifices and cholangiography with a "fire-like" appearance after Kasai hepatoportoenterostomy for biliary atresia.

Multiple orifices and cholangiography with a "fire-like" appearance after Kasai hepatoportoenterostomy for biliary atresia.

Abstract：

:A 21-year-old female underwent a Kasai hepatoportoenterostomy with Roux-en-Y reconstruction for typeIII biliary atresia at age 63 days. At the age of 19 years, she developed cholangitis and CT scan revealed hepatolithiasis. She presented for treatment of the intrahepatic stone and the hepatportoenterostomy was directly visualized with double-balloon endoscopy (DBE). Endoscopic findings showed multiple intrahepatic bile ducts open to the jejunum through multiple orifices. Cholangiography showed narrowing of intrahepatic bile duct branches with a "fire-like" appearance. These findings have not been previously reported, since endoscopic approaches to patients with a hepaticojejunostomy were limited. DBE was useful to directly visualize the anastomosis in a patient status-post the Kasai operation for biliary atresia with a Rouxen-Y reconstruction.

journal_name

J Pediatr Surg

journal_title

Journal of pediatric surgery

authors

Yokoyama K,Hatanaka H,Inoue M,Yano T,Numao N,Ushio J,Lefor AK,Tamada K,Yamamoto H

doi

10.1016/j.jpedsurg.2016.06.019

subject

Has Abstract

pub_date

2016-09-01 00:00:00

pages

1574-6

issue

9

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(16)30177-4

journal_volume

51

pub_type

杂志文章

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