論文

査読有り
2016年9月

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

JOURNAL OF PEDIATRIC SURGERY
  • Kensuke Yokoyama
  • ,
  • Hisashi Hatanaka
  • ,
  • Mikihiro Inoue
  • ,
  • Tomonori Yano
  • ,
  • Norikatsu Numao
  • ,
  • Jun Ushio
  • ,
  • Alan Kawarai Lefor
  • ,
  • Kiichi Tamada
  • ,
  • Hironori Yamamoto

51
9
開始ページ
1574
終了ページ
1576
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.jpedsurg.2016.06.019
出版者・発行元
W B SAUNDERS CO-ELSEVIER INC

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. (C) 2016 Elsevier Inc. All rights reserved.


リンク情報
DOI
https://doi.org/10.1016/j.jpedsurg.2016.06.019
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/27502010
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000382243300034&DestApp=WOS_CPL

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