Roux-en-Y肝空肠吻合术中胆石性梗阻：胆道闭锁肝移植术后的一个不寻常的挑战。

IF 0.5 Q4 GASTROENTEROLOGY & HEPATOLOGY

ACG Case Reports Journal Pub Date : 2025-10-01 DOI:10.14309/crj.0000000000001846

Sydney R Donohue, Apoorva K Chandar, Kai Zhao, Anthony B Post

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引用次数: 0

摘要

先天性胆道闭锁患者行Kasai肝肠口造口术后肝空肠造口术后胆石性梗阻极为罕见。Kasai手术更常见的并发症包括胆管狭窄、纤维化、门脉高压和胆管炎，这可能是由于淋巴引流减少、肠道细菌易位和胆道引流不良所致。在本研究中，我们报告了一例罕见的结石卡在肝空肠吻合术中的病例，该患者有小儿Kasai和正异性肝移植史，用于胆道闭锁，并通过肠切开和取出结石进行治疗。

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Gallstone Obstruction in Roux-en-Y Hepaticojejunostomy: An Unusual Challenge After Liver Transplant for Biliary Atresia.

Gallstone obstruction of the hepaticojejunostomy following Kasai hepatoportoenterostomy for congenital biliary atresia is extremely uncommon. More common complications of the Kasai procedure include bile duct strictures, fibrosis, portal hypertension, and cholangitis, which is likely due to reduced lymphatic drainage, intestinal bacterial translocation, and poor biliary drainage. In this study, we present a rare case of a stone lodged in the hepaticojejunostomy of a patient with a history of pediatric Kasai and orthotropic liver transplant for biliary atresia, managed with enterotomy and stone extraction.

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.