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Novel bile duct repair for bleeding biliary anastomotic varices: Case report and literature review

  • Published:
Journal of Gastrointestinal Surgery

Abstract

An unusual case of variceal bleeding at the site of a biliary enteric anastomosis is presented. This entity can occur when a high-to-low pressure gradient forms in a variceal field. In this case the anastomotic site was the location of the pressure gradient from the high-pressure small bowel varices to the lowpressure biliary tract. This was successfully treated by disconnection of the anastomosis. The resulting biliary defect was patched with small intestinal submucosa, which functioned successfully as a scaffold for biliary epithelial ingrowth.

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Authors and Affiliations

  1. Department of General Surgery, A80, Cleveland Clinic Foundation, 9500 Euclid Avenue, 44195, Cleveland, OH

    Andrew M. Smith M.D., F.R.C.S., R. Matthew Walsh M.D., F.A.C.S. & J. Michael Henderson M.D., F.R.C.S.

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  1. Andrew M. Smith M.D., F.R.C.S.
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  2. R. Matthew Walsh M.D., F.A.C.S.
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  3. J. Michael Henderson M.D., F.R.C.S.
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Correspondence to R. Matthew Walsh M.D., F.A.C.S..

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Smith, A.M., Walsh, R.M. & Henderson, J.M. Novel bile duct repair for bleeding biliary anastomotic varices: Case report and literature review. J Gastrointest Surg 9, 832–836 (2005). https://doi.org/10.1016/j.gassur.2005.01.293

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