Two Cases of Biliary Atresia Triggered by Intractable Cholangitis Due to Intussusception Antireflux Valve During Hepatic Portojejunostomy

Hirata Yuta, Sanada Yukihiro, Onishi Yasuharu, Okada Noriki, Horiuchi Toshio, Omameuda Takahiko, Sakuma Yasunaru, Sata Naohiro

doi:10.11164/jjsps.59.7_1058

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Other Title

肝門部空腸吻合術時に造設した腸管重積型逆流防止弁による挙上空腸狭窄が難治性胆管炎の契機となった胆道閉鎖症の2例
カンモンブクウチョウフンゴウジュツジニゾウセツシタチョウカンジュウセキガタギャクリュウボウシベンニヨルキョジョウクウチョウキョウサクガナンチセイタンカンエンノケイキトナッタタンドウヘイサショウノ 2レイ

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Abstract

<p>We report two cases of biliary atresia (BA) in which living-donor liver transplantation (LDLT) was performed owing to intractable cholangitis after additional hepatic portojejunostomy. [Case 1] The patient was a 15-year-old girl. Hepatic portojejunostomy was performed to treat BA. Owing to poor bile excretion, reanastomosis was performed at 2 months of age using a backflow prevention valve. Intractable cholangitis with jaundice appeared 15 years after the operation. An ileus duct was placed for jejunal stenosis using a regurgitation prevention valve; however, the intrahepatic bile duct dilatation and jaundice did not improve, and LDLT was performed. [Case 2] The patient was a 26-year-old man. Hepatic portojejunostomy was performed using a backflow prevention valve. The patient’s jaundice worsened 25 years after the operation and he was transferred to our department; however, the cholangitis did not improve and LDLT was performed. An antireflux valve may cause cholestatic cholangitis in patients with long-term BA.</p>

Journal

Journal of the Japanese Society of Pediatric Surgeons

Journal of the Japanese Society of Pediatric Surgeons 59 (7), 1058-1063, 2023-12-20

The Japanese Society of Pediatric Surgeons

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