Balloon dilation of jejunal afferent loop functional XXXX following left hepatectomy and hepaticojejunostomy long time after pylorus-preserving pancreaticoduodenectomy: a case report.

@entity1 @entity3883 @entity5 @entity384 @entity1157 @entity201 @entity850 @entity255
We present a rare case of functional @entity850 of the jejunal loop following left hepatectomy and hepaticojejunostomy long after pylorus-preserving pancreaticoduodenectomy (PPPD), which was successfully managed by @entity384 . A 70-year-old Korean @entity1 had undergone PPPD 6 years before due to 1.8 cm-sized distal @entity1157 @entity5 . @entity3883 led to diagnosis of recurrent @entity1157 @entity5 mimicking perihilar @entity201 of type IIIb. After left portal vein embolization, the @entity1 underwent resection of the left liver and caudate lobe and remnant extrahepatic @entity1157 . The pre-existing jejunal loop and choledochojejunostomy site were used again for new hepaticojejunostomy. The @entity1 recovered uneventfully, but clamping of the percutaneous transhepatic biliary drainage (PTBD) tube resulted in @entity255 . Biliary imaging studies revealed that biliary passage into the afferent jejunal limb was significantly impaired. We performed @entity384 of the afferent jejunal loop by using a 20 mm-wide balloon. Follow-up hepatobiliary scintigraphy showed gradual improvement in biliary excretion and the PTBD tube was removed at 1 month @entity384 . This very unusual condition was regarded as disuse atrophy of the jejunal loop, which was successfully managed by @entity384 and intraluminal keeping of a large-bore PTBD tube for 1 month.
