Upper @entity360 ( @entity360 ) is one of the most common @entity532 following liver transplantation. The aim of this study is to define the prevalence of @entity360 due to Roux- en Y (R-Y) enteral anastomoses after living donor liver transplantation (LDLT) and recommend an anastomotic technique for easy surgical intervention. Ninety-five @entity1 underwent 96 LDLT from June 1999 through January 2003. R-Y biliary reconstruction was employed in 43 @entity1 . Anastomoses were @entity454 ( @entity454 ) in the first 25 @entity1 and side-to-side (SS) type in the last 18 @entity1 . @entity360 occurred in 13 @entity1 (30%). The R-Y anastomotic line was shown to be the @entity548 site in 10 @entity1 . Anastomoses were in @entity454 fashion in 7 of 10 @entity1 (70%). In other words 28% of @entity454 and 17% of SS anastomoses displayed a @entity548 episode after LDLT. Four @entity1 required surgical intervention (Three @entity454 , one SS), namely an operative rate of 9%. The type of the jejunojejunostomy, the UNOS or @entity1 -Pugh scores, the presence of preexisting portal @entity101 , the duration of portal vein clamping, the GRWR of @entity1 , revealed no statistical significant difference between @entity548 and non- @entity548 @entity1 . Although statistical analyses did not reveal any significant difference (P =.47), @entity360 was higher among @entity1 with an @entity454 type of anastomoses. As a result we recommend a jejunojejunostomy in SS fashion on the antimesenteric borders of the jejunal segments with a 3-4 cm blind intestinal segment. The surgical procedure for R-Y @entity548 may then be performed without disrupting the jejunojejunostomy.

Roux-en-Y XXXX after living donor liver transplantation: a novel technique for surgical treatment.

@entity1 :: ('9606', 'Species') :: ['Child', 'patients'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertension'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity532 :: ('MESH:D003925', 'Disease') :: ['gastroenterologic complications'] @entity360 :: ('MESH:D006471', 'Disease') :: ['GIB', 'gastrointestinal bleeding'] @entity454 :: ('MESH:D007676', 'Disease') :: ['end-to-side', 'ES']
@entity548 :: (MESH:D006470,Disease) :: ['bleeding']
