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Could recurrent cholangitis after Roux-en-Y hepaticojejunostomy be explained by motor intestinal anomalies? A manometric study.
Am J Gastroenterol. 1991 Sep; 86(9):1255-8.AJ

Abstract

The aim of this study was to describe the motor patterns found in two patients with recurrent cholangitis episodes after Roux-en-Y hepaticojejunostomy. In one patient, cholangitis was due to a stenosis of the anastomosis between the limb and the left intrahepatic bile duct, while motility of the limb, duodenum, and distal jejunum was normal. In the second patient, no anatomical explanation was found for cholangitis attacks. However, although the duodenal motor activity was normal, the motility of the limb and of the jejunum below the jejunojejunal anastomosis was grossly abnormal: permanent minute rhythm, phase IIIs absent or rare and slowly propagated, all motor abnormalities that could promote bacterial overgrowth in the limb. This stresses the interest in performing motor studies of the Roux-limb when cholangitis remains unexplained after Roux-en-Y hepaticojejunostomy.

Authors+Show Affiliations

Groupe de Biochimie et Physiopathologie Digestive et Nutritionnelle, Hôpital Charles Nicolle, Rouen, France.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

1882807

Citation

Ducrotte, P, et al. "Could Recurrent Cholangitis After Roux-en-Y Hepaticojejunostomy Be Explained By Motor Intestinal Anomalies? a Manometric Study." The American Journal of Gastroenterology, vol. 86, no. 9, 1991, pp. 1255-8.
Ducrotte P, Peillon C, Guillemot F, et al. Could recurrent cholangitis after Roux-en-Y hepaticojejunostomy be explained by motor intestinal anomalies? A manometric study. Am J Gastroenterol. 1991;86(9):1255-8.
Ducrotte, P., Peillon, C., Guillemot, F., Testart, J., & Denis, P. (1991). Could recurrent cholangitis after Roux-en-Y hepaticojejunostomy be explained by motor intestinal anomalies? A manometric study. The American Journal of Gastroenterology, 86(9), 1255-8.
Ducrotte P, et al. Could Recurrent Cholangitis After Roux-en-Y Hepaticojejunostomy Be Explained By Motor Intestinal Anomalies? a Manometric Study. Am J Gastroenterol. 1991;86(9):1255-8. PubMed PMID: 1882807.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Could recurrent cholangitis after Roux-en-Y hepaticojejunostomy be explained by motor intestinal anomalies? A manometric study. AU - Ducrotte,P, AU - Peillon,C, AU - Guillemot,F, AU - Testart,J, AU - Denis,P, PY - 1991/9/1/pubmed PY - 1991/9/1/medline PY - 1991/9/1/entrez SP - 1255 EP - 8 JF - The American journal of gastroenterology JO - Am J Gastroenterol VL - 86 IS - 9 N2 - The aim of this study was to describe the motor patterns found in two patients with recurrent cholangitis episodes after Roux-en-Y hepaticojejunostomy. In one patient, cholangitis was due to a stenosis of the anastomosis between the limb and the left intrahepatic bile duct, while motility of the limb, duodenum, and distal jejunum was normal. In the second patient, no anatomical explanation was found for cholangitis attacks. However, although the duodenal motor activity was normal, the motility of the limb and of the jejunum below the jejunojejunal anastomosis was grossly abnormal: permanent minute rhythm, phase IIIs absent or rare and slowly propagated, all motor abnormalities that could promote bacterial overgrowth in the limb. This stresses the interest in performing motor studies of the Roux-limb when cholangitis remains unexplained after Roux-en-Y hepaticojejunostomy. SN - 0002-9270 UR - https://www.unboundmedicine.com/medline/citation/1882807/Could_recurrent_cholangitis_after_Roux_en_Y_hepaticojejunostomy_be_explained_by_motor_intestinal_anomalies_A_manometric_study_ L2 - https://antibodies.cancer.gov/detail/CPTC-NT5E+-1 DB - PRIME DP - Unbound Medicine ER -