Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
9401366 | Journal of Gastrointestinal Surgery | 2005 | 5 Pages |
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 low-pressure 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
Andrew M. M.D., F.R.C.S., R. Matthew M.D., F.A.C.S., J. Michael M.D., F.R.C.S.,