Dilatation of biliary strictures through the afferent limb of a Roux-en-Y choledochojejunostomy in patients with sclerosing cholangitis

Duane G. Hutson, Edward Russell, Joe U. Levi, Lennox J. Jeffers, K. Rajender Reddy, Jose M. Yrizarry, Tomas Scagnelli, Danny Sleeman, Eugene R. Schiff, Alan S. Livingstone

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Repeated dilatation of biliary strictures in patients with sclerosing cholangitis through a subcutaneously placed afferent limb of a choledochojejunostomy is technically feasible and safe. This study is a prospective 15-year evaluation of 36 patients treated by repeat dilatation through this jejunal limb. There was one operative death and one major complication of dilatation. The 5-year survival of all patients was 74%. If patients with cirrhosis or unproven cholangiocarcinoma at the time of operation are not included, the 5-year survival is 86%. The 15-year survival of all patients was 30%; it was 64% if those with cirrhosis and unproven cholangiocarcinoma at the time of operation are not included. Six patients are presently alive with an average survival of 159 months. The study suggests that a combination of repeated dilatations combined with transplantation is the approach of choice in selected patients.

Original languageEnglish (US)
Pages (from-to)1251-1253
Number of pages3
JournalWorld Journal of Surgery
Volume25
Issue number10
DOIs
StatePublished - Oct 22 2001

    Fingerprint

ASJC Scopus subject areas

  • Surgery

Cite this