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. 2019 Jul 25;5(8):e476.
doi: 10.1097/TXD.0000000000000922. eCollection 2019 Aug.

Creation of a Robotically Assisted Terminal Jejunogastrostomy Is Safe and Effective in Regaining Antegrade Enteral Bile Duct Access After Live Donor Liver Transplant With Roux Limb

George Rofaiel  1 , Eryberto Martinez  1 , Gilbert Pan  1 , Michael Sossenheimer  2 , Ryan O'Hara  3 , Juan Gallegos  2 , Terry Box  2 , Tuan Pham  2 , Jeffrey Campsen  1 , Mariah Goodale  1 , Robin Kim  1
Affiliations

Creation of a Robotically Assisted Terminal Jejunogastrostomy Is Safe and Effective in Regaining Antegrade Enteral Bile Duct Access After Live Donor Liver Transplant With Roux Limb

George Rofaiel et al. Transplant Direct. .
No abstract available

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Conflict of interest statement

The authors declare no funding or conflicts of interest.

Figures

FIGURE 1.
FIGURE 1.
Conventional and common variations of right biliary anatomy.
FIGURE 2.
FIGURE 2.
Biliary dilation shown on ultrasound (A) and in MRCP (B). MRCP, magnetic resonance cholangiopancreatography.
FIGURE 3.
FIGURE 3.
Percutaneous transhepatic cholangiography catheter placed in one of the patient’s bile ducts.
FIGURE 4.
FIGURE 4.
Unsuccessful balloon enteroscope-assisted endoscopic retrograde cholangiography due to length of the Roux limb. PTC, percutaneous transhepatic cholangiography.
FIGURE 5.
FIGURE 5.
Location of trocars for robotic assistance.
FIGURE 6.
FIGURE 6.
Identification (A) and anastomosis (B) of the Roux limb in creation of the jejunogastrostomy.
FIGURE 7.
FIGURE 7.
Successful endoscopic retrograde cholangiography (A) and stent placement (B) following jejunogastrostomy.
See this image and copyright information in PMC

References

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    1. Living Donor Transplants in the U.S. by State. Organ Procurement and Transplantation Network. 2018. Available at https://optn.transplant.hrsa.gov/data/view-data-reports/national-data/. Accessed October 15, 2018.
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