Sump syndrome complicating Roux-en-Y hepaticojejunostomy: Case report and review of the literature

P. E. Morrissey, G. A. Burns, S. M. Cohn

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

Sump syndrome is a rare complication of biliary-enteric anastomosis. Classically, the distal bile duct becomes obstructed by gastrointestinal debris after choledochoduodenostomy, resulting in cholangitis or, less commonly, pancreatitis. Obstruction of the biliary tree by gastrointestinal contents after Roux-en-Y choledochojejunostomy or hepaticojejunostomy has not been described in the English-language literature. This report details the diagnostic and operative management of the first patient with sump syndrome after hepaticojejunostomy. The presumed pathophysiology was reflux of vegetable matter up the efferent limb, resulting in hepatic duet obstruction and cholangitis. The patient ultimately required complex choledochoscopic drainage of the intrahepatic biliary tree and revision of the previous Roux- en-Y hepaticojejunostomy.

Original languageEnglish (US)
Pages (from-to)403-405
Number of pages3
JournalSurgery
Volume119
Issue number4
DOIs
StatePublished - Jan 1 1996

ASJC Scopus subject areas

  • Surgery

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