Duct-to-duct Biliary Reconstruction in Living-donor Liver Transplantation for Primary Sclerosing Cholangitis: Report of a Case

T. Motomura, T. Yoshizumi, H. Wang, A. Nagatsu, S. Itoh, N. Harada, N. Harimoto, T. Ikegami, H. Uchiyama, Y. Soejima, Y. Maehara

Research output: Contribution to journalArticle

Abstract

Although Roux-en Y hepaticojejunostomy was previously recommended for the biliary reconstruction in liver transplantation for primary sclerosing cholangitis (PSC), some recent reports showed no difference in the graft survival between Roux-en Y and duct-to-duct anastomosis in deceased-donor liver transplantation. On the other hand, considering the risk of recurrence and the short length of the bile duct of the graft, duct-to-duct biliary anastomosis has never been reported in a patient undergoing living-donor liver transplantation (LDLT) for PSC. A 45 year-old male underwent LDLT using a left-lobe graft donated from his brother. Cholangiography showed no lesion in his common bile duct and duct-to-duct anastomosis was chosen for him. Fifteen months later, he suffered cholangitis due to PSC recurrence and endoscopic retrograde cholangiography was performed. The stents were inserted into his B2 and B3, and he remains well. Because of the ability to easily manage biliary complication, duct-to-duct biliary reconstruction may become the first choice in LDLT for PSC without common bile duct lesions.

Original languageEnglish
Pages (from-to)1196-1198
Number of pages3
JournalTransplantation Proceedings
Volume49
Issue number5
DOIs
Publication statusPublished - Jun 2017

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Sclerosing Cholangitis
Living Donors
Liver Transplantation
Cholangiography
Common Bile Duct
Transplants
Recurrence
Aptitude
Cholangitis
Graft Survival
Bile Ducts
Stents
Siblings
Tissue Donors

All Science Journal Classification (ASJC) codes

  • Surgery
  • Transplantation

Cite this

Duct-to-duct Biliary Reconstruction in Living-donor Liver Transplantation for Primary Sclerosing Cholangitis : Report of a Case. / Motomura, T.; Yoshizumi, T.; Wang, H.; Nagatsu, A.; Itoh, S.; Harada, N.; Harimoto, N.; Ikegami, T.; Uchiyama, H.; Soejima, Y.; Maehara, Y.

In: Transplantation Proceedings, Vol. 49, No. 5, 06.2017, p. 1196-1198.

Research output: Contribution to journalArticle

Motomura, T. ; Yoshizumi, T. ; Wang, H. ; Nagatsu, A. ; Itoh, S. ; Harada, N. ; Harimoto, N. ; Ikegami, T. ; Uchiyama, H. ; Soejima, Y. ; Maehara, Y. / Duct-to-duct Biliary Reconstruction in Living-donor Liver Transplantation for Primary Sclerosing Cholangitis : Report of a Case. In: Transplantation Proceedings. 2017 ; Vol. 49, No. 5. pp. 1196-1198.
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