You are here

Article Text

Article menu
Download PDFPDF
Gut file
Cholangiocarcinoma arising after biliary-enteric drainage procedures for benign disease
  1. V Bettschart1,
  2. R A E Clayton1,
  3. R W Parks1,
  4. O J Garden1,
  5. C O C Bellamy2
  1. 1Department of Clinical and Surgical Sciences (Surgery), University of Edinburgh and Scottish Liver Transplant Unit, Royal Infirmary of Edinburgh, Edinburgh, UK
  2. 2Department of Pathology, University of Edinburgh and Scottish Liver Transplant Unit, Royal Infirmary of Edinburgh, Edinburgh, UK
  1. Correspondence to:
    V Bettschart, Department Surgery, University Of Edinburgh, Royal Infirmary of Edinburgh, Lauriston Place, Edinburgh EH3 9YW, UK;
    V.Bettschart{at}ed.ac.uk

https://doi.org/10.1136/gut.51.1.128

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    BACKGROUND

    Although choledochoduodenostomy was widely performed for choledocholithiasis in the 1960s and 1970s, Roux-en-Y hepaticojejunostomy is currently the preferred biliary-enteric anastomosis for benign and malignant disease and is generally considered a low risk procedure, aside from the potential for cholangitis.

    AIMS

    We report three cases referred over a 12 month period in which cholangiocarcinoma developed after previous biliary-enteric anastomosis, and review the literature to determine the likelihood of an association.

    PATIENTS

    Case No 1

    A 51 year old female developed obstructive jaundice 26 years after choledochoduodenostomy for a biliary stricture after iatrogenic bile duct injury. Endoscopic retrograde cholangiopancreatography (ERCP) showed neoplastic infiltration at the level of the anastomosis, biopsy of which revealed cholangiocarcinoma …

    View Full Text