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Gallbladder Carcinoma as a Long-Term Complication of Cholecystojejunostomy

  • Charles H. C. Pilgrim
  • Laveniya Satgunaseelan
  • Salena M. Ward
  • Peter M. Evans
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Abstract

Introduction

Development of gallbladder cancer following cholecystojejunostomy has not previously been described.

Methods

A case of a patient who developed gallbladder cancer 22 years following cholecystojejunostomy is presented, and a literature review of known complications of cholecysto-enteric anastomosis was performed.

Discussion

Cholangitis is the commonest reported complication, known to predispose the biliary epithelium to malignant change, but has not been described until now as being carcinogenic for the gallbladder. Gallbladder carcinoma may be a rare long-term complication of cholecystojejunostomy.

Keywords

Gallbladder cancer Bilio-enteric bypass Postoperative risk factor Cholecystojejunostomy 

Notes

Acknowledgements

1. Dr Catriona McLean, Pathologist, Anatomical Pathology Department, Alfred Hospital.

2. Radiology Department, Alfred Hospital.

References

  1. 1.
    Thomson SR. Sequelae of cholecystojejunostomy for benign intrapancreatic biliary strictures. S Afr J Surg 1998;36(1):26–29.PubMedGoogle Scholar
  2. 2.
    Carpenter S, Brown KA. Chronic complications after cholecystojejunostomy. Am J Gastroenterol 1994;89(11):2073–2075.PubMedGoogle Scholar
  3. 3.
    Oishi AJ, Sarr MG, Nagorney DM, Traynor MD, Mucha P Jr. Long-term outcome of cholecystoenterostomy as a definitive biliary drainage procedure for benign disease. World J Surg 1995;19(4):616–619. discussion 620.CrossRefPubMedGoogle Scholar
  4. 4.
    Winters DA, Smith DC. Cholecystojejunostomy complicated by massive hemocholecyst. Radiology 1982;144(2):265–266.PubMedGoogle Scholar
  5. 5.
    Porter DH, Kim D, Austin RM. Cholecystojejunostomy intussusception. Gastrointest Radiol 1988;13(3):227–229.CrossRefPubMedGoogle Scholar
  6. 6.
    Perez Ruiz L, Gabarrell Oto A, Vinas Salas J, Torres Romana S, Gomez Quiles L. [Biliary tract cancer following bilioenteric anastomosis]. Rev Esp Enferm Dig 1994;86(5):853–855.PubMedGoogle Scholar
  7. 7.
    Strong RW. Late bile duct cancer complicating biliary-enteric anastomosis for benign disease. Am J Surg 1999;177(6):472–474.CrossRefPubMedGoogle Scholar
  8. 8.
    Bettschart V, Clayton RA, Parks RW, Garden OJ, Bellamy CO. Cholangiocarcinoma arising after biliary-enteric drainage procedures for benign disease. Gut 2002;51(1):128–129.CrossRefPubMedGoogle Scholar
  9. 9.
    Tocchi A, Mazzoni G, Liotta G, Lepre L, Cassini D, Miccini M. Late development of bile duct cancer in patients who had biliary-enteric drainage for benign disease: a follow-up study of more than 1,000 patients. Ann Surg 2001;234(2):210–214.CrossRefPubMedGoogle Scholar
  10. 10.
    Lontoft E, Rasmussen L, Pedersen SA. Deleterious circulation of intestinal contents through the biliary tract after cholecystojejunostomy. Endoscopy 1991;23(5):309–310.CrossRefPubMedGoogle Scholar
  11. 11.
    Gooding GA. Food particles in the gallbladder mimic cholelithiasis in a patient with a cholecystojejunostomy. J Clin Ultrasound 1981;9(6):346–347.CrossRefPubMedGoogle Scholar

Copyright information

© The Society for Surgery of the Alimentary Tract 2009

Authors and Affiliations

  • Charles H. C. Pilgrim
    • 1
    • 2
  • Laveniya Satgunaseelan
    • 1
  • Salena M. Ward
    • 1
  • Peter M. Evans
    • 1
  1. 1.Upper Gastrointestinal Surgery UnitAlfred HospitalPrahranAustralia
  2. 2.PrahranAustralia

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