Choledochoduodenostomy in liver transplantation

Abstract

Purpose: This paper aims to describe five choledochoduodenostomy cases for biliary reconstruction in liver transplant. Methods: This is a retrospective study performed from medical records of patients submitted to liver transplant procedure between 1999 and 2019 at Unidade de Transplante de F gado de Pernambuco (UTF-HUOC), with the selection of five patients who underwent choledochoduodenostomy for biliary reconstruction. Results: The reasons for Choledocoduodenostomy was: dilated graft biliary tract and main biliary tract disorder; mesenteric varices, peritonite encapsulant with mesenteric varices and intense abdominal adherences in two patients. Among the patients included, two died of primary graft disorder. None of the patients presented biliary fistula, and only one presented biliary stenosis. Conclusion: Data observed in this paper and in the literature points to a similarity between Roux-en-Y Choledochojejunostomy and Choledochoduodenostomy in terms of morbidity and mortality, with Choledochoduodenostomy presenting the advantage of possible endoscopic access.