Biliary Obstruction Clinical Trial
Official title:
Isolated Vascularized Gastric Tube Biliary Enteric Drainage: A Paediatric Case Series Experience.
This was a retrospective case series experience of paediatric patients who had an Isolated vascularized gastric tube biliary enteric drainage procedure for biliary obstruction over the past five years. We reviewed our experience and outcomes.
Background
Despite the enormous surgical advancements in the last century, access to the biliary system
is lost when a Roux-en-Y (RY) biliary drainage procedure is performed. Attempts have been
made to overcome this inconvenient sequel of RY biliary drainage by the use of variations in
the RY anastomosis, small bowel grafts and vascular grafts. These have been predominantly
unsuccessful. The use of an Isolated Vascularized Gastric Tube (IVGT) graft has been reported
in the literature, and this was successfully used for adult patients with common bile duct
injuries. The investigators have adopted the technique of using an IVGT graft for bile duct
reconstruction in the paediatric patients at their institution.
Method
The investigators reviewed theirr experience at Greys Hospital, Pietermaritzburg. This was a
retrospective review of all paediatric patients who had undergone an IVGT graft procedure for
biliary tract anatomical obstruction in the past five years. The investgators looked at the
indications for surgery, the demographic profile of the patients, outcomes following surgery
and outlined the surgical technique used.
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