Biliary restoration using a combined endoscopic-percutaneous approach following “orphan duct syndrome” after pediatric liver transplantation

Patrick B. Dennis; Elizabeth K. Nadeau; Jared White; Ricardo Yamada; D. Thor Johnson; B. Joseph Elmunzer; Vinayak Rohan; Nagraj Kasi; Satish N. Nadig

doi:10.1016/j.epsc.2020.101509

Biliary restoration using a combined endoscopic-percutaneous approach following “orphan duct syndrome” after pediatric liver transplantation

Patrick B. Dennis^*, Elizabeth K. Nadeau, Jared White, Ricardo Yamada, D. Thor Johnson, B. Joseph Elmunzer, Vinayak Rohan, Nagraj Kasi, Satish N. Nadig

^*Corresponding author for this work

Surgery, Transplant Surgery Division

Research output: Contribution to journal › Article › peer-review

Abstract

A 2-year-old male with arginosuccinate lyase deficiency underwent left lateral segment liver transplantation complicated by “orphan duct syndrome (Celik et al., 2019) [1]” and biliary leak. After revision of the Roux-en-Y anastomosis, biliary drainage was still impaired. The excluded bile duct was diagnosed and a biliary restoration (or neo-duct) using a combined endoscopic and percutaneous approach was created by Gastroenterology and Interventional Radiology. To our knowledge, this case report represents the first combined endoscopic-percutaneous biliary restoration procedure performed in a pediatric patient.

Original language	English (US)
Article number	101509
Journal	Journal of Pediatric Surgery Case Reports
Volume	59
DOIs	https://doi.org/10.1016/j.epsc.2020.101509
State	Published - Aug 2020

Keywords

Biliary restoration
Liver transplantation
Orphan duct

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Surgery

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10.1016/j.epsc.2020.101509

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Dennis, P. B., Nadeau, E. K., White, J., Yamada, R., Johnson, D. T., Elmunzer, B. J., Rohan, V., Kasi, N., & Nadig, S. N. (2020). Biliary restoration using a combined endoscopic-percutaneous approach following “orphan duct syndrome” after pediatric liver transplantation. Journal of Pediatric Surgery Case Reports, 59, Article 101509. https://doi.org/10.1016/j.epsc.2020.101509

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title = "Biliary restoration using a combined endoscopic-percutaneous approach following “orphan duct syndrome” after pediatric liver transplantation",

abstract = "A 2-year-old male with arginosuccinate lyase deficiency underwent left lateral segment liver transplantation complicated by “orphan duct syndrome (Celik et al., 2019) [1]” and biliary leak. After revision of the Roux-en-Y anastomosis, biliary drainage was still impaired. The excluded bile duct was diagnosed and a biliary restoration (or neo-duct) using a combined endoscopic and percutaneous approach was created by Gastroenterology and Interventional Radiology. To our knowledge, this case report represents the first combined endoscopic-percutaneous biliary restoration procedure performed in a pediatric patient.",

keywords = "Biliary restoration, Liver transplantation, Orphan duct",

author = "Dennis, {Patrick B.} and Nadeau, {Elizabeth K.} and Jared White and Ricardo Yamada and Johnson, {D. Thor} and Elmunzer, {B. Joseph} and Vinayak Rohan and Nagraj Kasi and Nadig, {Satish N.}",

note = "Publisher Copyright: {\textcopyright} 2020 The Authors",

year = "2020",

month = aug,

doi = "10.1016/j.epsc.2020.101509",

language = "English (US)",

volume = "59",

journal = "Journal of Pediatric Surgery Case Reports",

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T1 - Biliary restoration using a combined endoscopic-percutaneous approach following “orphan duct syndrome” after pediatric liver transplantation

AU - Dennis, Patrick B.

AU - Nadeau, Elizabeth K.

AU - White, Jared

AU - Yamada, Ricardo

AU - Johnson, D. Thor

AU - Elmunzer, B. Joseph

AU - Rohan, Vinayak

AU - Kasi, Nagraj

AU - Nadig, Satish N.

PY - 2020/8

Y1 - 2020/8

N2 - A 2-year-old male with arginosuccinate lyase deficiency underwent left lateral segment liver transplantation complicated by “orphan duct syndrome (Celik et al., 2019) [1]” and biliary leak. After revision of the Roux-en-Y anastomosis, biliary drainage was still impaired. The excluded bile duct was diagnosed and a biliary restoration (or neo-duct) using a combined endoscopic and percutaneous approach was created by Gastroenterology and Interventional Radiology. To our knowledge, this case report represents the first combined endoscopic-percutaneous biliary restoration procedure performed in a pediatric patient.

AB - A 2-year-old male with arginosuccinate lyase deficiency underwent left lateral segment liver transplantation complicated by “orphan duct syndrome (Celik et al., 2019) [1]” and biliary leak. After revision of the Roux-en-Y anastomosis, biliary drainage was still impaired. The excluded bile duct was diagnosed and a biliary restoration (or neo-duct) using a combined endoscopic and percutaneous approach was created by Gastroenterology and Interventional Radiology. To our knowledge, this case report represents the first combined endoscopic-percutaneous biliary restoration procedure performed in a pediatric patient.

KW - Biliary restoration

KW - Liver transplantation

KW - Orphan duct

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JF - Journal of Pediatric Surgery Case Reports

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ER -

Biliary restoration using a combined endoscopic-percutaneous approach following “orphan duct syndrome” after pediatric liver transplantation

Abstract

Keywords

ASJC Scopus subject areas

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