Biliary restoration using a combined endoscopic-percutaneous approach following "orphan duct syndrome" after pediatric liver transplantation

A 2-year-old male with arginosuccinate lyase deficiency underwent left lateral segment liver transplantation complicated by "orphan duct syndrome (Celik et al., 2019) [1]" and biliary leak. After revision of the Roux-en-Y anastomosis, biliary drainage was still impaired. The excluded bile...

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Main Authors: Patrick B. Dennis (Author), Elizabeth K. Nadeau (Author), Jared White (Author), Ricardo Yamada (Author), D. Thor Johnson (Author), B. Joseph Elmunzer (Author), Vinayak Rohan (Author), Nagraj Kasi (Author), Satish N. Nadig (Author)
Format: Book
Published: Elsevier, 2020-08-01T00:00:00Z.
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Summary:A 2-year-old male with arginosuccinate lyase deficiency underwent left lateral segment liver transplantation complicated by "orphan duct syndrome (Celik et al., 2019) [1]" and biliary leak. After revision of the Roux-en-Y anastomosis, biliary drainage was still impaired. The excluded bile duct was diagnosed and a biliary restoration (or neo-duct) using a combined endoscopic and percutaneous approach was created by Gastroenterology and Interventional Radiology. To our knowledge, this case report represents the first combined endoscopic-percutaneous biliary restoration procedure performed in a pediatric patient.
Item Description:2213-5766
10.1016/j.epsc.2020.101509