Gastric sleeve as an extra-anatomical roux for biliary reconstruction in a pediatric third liver transplant
Presentation: The case was presented as a moderated poster at the British Transplant Society Annual Congress, Belfast, September 2022 and as a poster at the Joint International Congress of ILTS, ELITA, and LICAGE, Istanbul, May 2022.
Abstract
Background
Sir Roy Calne in 1976 described “Biliary reconstruction is the Achilles heel of liver transplantation,” and it remains true. In some patients, such as those with short-gut syndrome and concomitant biliary atresia, neither duct to duct nor Roux biliary reconstruction is feasible.
Methods
We present a case of child's third liver transplant (LT), where an innovative extra-anatomical biliary bypass was created using a sleeve from greater curvature of the stomach.
Results
The patient is well nearly 10 years following the LT.
Conclusions
This technique could prove to be an important addition to the armamentarium of a surgeon in difficult retransplants and in patients with short-gut syndrome as it provides a viable option with good long-term outcome.
CONFLICT OF INTEREST STATEMENT
None.
Open Research
DATA AVAILABILITY STATEMENT
Data sharing is not applicable to this article as no datasets were generated or analyzed during the current study.
