Zero % long term biliary stricture in microscopic reconstruction (MBR) of Hepatico-Jejunal Biliary Roux en Y choice of biliary drainage of adult liver transplant
Ali Ghannam, Tsan-Shiun Lin, Chao-Long Chen
Abstract
Background
Routine use of (MBR) by Roux en Y in adult Orthotopic Liver Transplantation (OLT) has not been elucidated. The usual choice of enteric drainage got expected morbidities of biliary enteric anastomosis. Patients of liver transplant clinical differences are compared. Choices, current status, efficacy, application, short and long term outcome of biliary reconstruction by (MBR) roux en Y anastomosis in adult liver transplant was compared to Conventional roux en y.
Aim
The primary aim of the study is to clarify the influence to the diseased liver recipient duct to the future graft biliary drainage.
Methods
Study of consecutive liver transplant patients was retrieved. Total Number of 1234 OLT, By the End of July 2014. Group A 16 patients of Conventional Period up to 22 March, 2006. Group B 50 patients of (MBR) up to 31 JULY 2014.
Results
In group A 8/16 got short and long term complication. However, in group B only 4/50 got short term problems, with no death.
Conclusion
In Spite of the drawback of adult OLT roux en Y hepatico-jejunal anastomosis including anatomical challenges and graft position, we developed graft survival in adults liver transplant with widened application of (MBR).
There is accessible and durable intact biliary drainage choice by (MBR) hepatica enteric anastomosis for adults OLT patients that can be encouraged and advised by microscopic surgery.
Full Text:
Routine use of (MBR) by Roux en Y in adult Orthotopic Liver Transplantation (OLT) has not been elucidated. The usual choice of enteric drainage got expected morbidities of biliary enteric anastomosis. Patients of liver transplant clinical differences are compared. Choices, current status, efficacy, application, short and long term outcome of biliary reconstruction by (MBR) roux en Y anastomosis in adult liver transplant was compared to Conventional roux en y.
Aim
The primary aim of the study is to clarify the influence to the diseased liver recipient duct to the future graft biliary drainage.
Methods
Study of consecutive liver transplant patients was retrieved. Total Number of 1234 OLT, By the End of July 2014. Group A 16 patients of Conventional Period up to 22 March, 2006. Group B 50 patients of (MBR) up to 31 JULY 2014.
Results
In group A 8/16 got short and long term complication. However, in group B only 4/50 got short term problems, with no death.
Conclusion
In Spite of the drawback of adult OLT roux en Y hepatico-jejunal anastomosis including anatomical challenges and graft position, we developed graft survival in adults liver transplant with widened application of (MBR).
There is accessible and durable intact biliary drainage choice by (MBR) hepatica enteric anastomosis for adults OLT patients that can be encouraged and advised by microscopic surgery.
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