Successful salvage of late failure of hepatic portocholecystostomy (gallbladder Kasai) with Roux-en-Y cholecystojejunostomy

Michael S Tam; Donald B Shaul; Roman M Sydorak

doi:10.1016/j.jpedsurg.2012.12.050

Successful salvage of late failure of hepatic portocholecystostomy (gallbladder Kasai) with Roux-en-Y cholecystojejunostomy

J Pediatr Surg. 2013 Mar;48(3):e37-9. doi: 10.1016/j.jpedsurg.2012.12.050.

Authors

Michael S Tam¹, Donald B Shaul, Roman M Sydorak

Affiliation

¹ Department of Surgery, Kaiser Permanente, 4760 Sunset Boulevard, 3rd Floor, Los Angeles, CA 90027, USA.

PMID: 23480947
DOI: 10.1016/j.jpedsurg.2012.12.050

Abstract

The hepatic portoenterostomy (HPE) is the accepted initial operation for biliary reconstruction for biliary atresia, but in a select group of patients with patent distal extrahepatic bile ducts (PDEBD), a hepatic portocholecystostomy (HPC) may also be considered. A10 year old boy presented with sudden onset of jaundice following a successful HPC at 2 months of age. Radiographic evaluation revealed excretion into a distended gallbladder with distal biliary obstruction. He underwent a successful Roux-en-Y cholecystojejunostomy and remains jaundice-free two years later. Cholecystojejunostomy is an effective salvage operation for patients who develop late distal biliary obstruction after an HPC.

Publication types

Case Reports

MeSH terms

Biliary Atresia / surgery*
Child
Cholecystostomy / methods*
Humans
Jejunostomy / methods*
Liver / surgery
Male
Remission Induction
Time Factors
Treatment Failure