Isolated Vascularized Gastric Tube Biliary Enteric Drainage: A Paediatric Case Series Experience.

University of KwaZulu-Natal (UKZN)

Status: Completed

Conditions: Choledochal Cyst; Biliary Obstruction

Treatments: Procedure: Isolated Vascularized Gastric Tube (IVGT) graft

Study type: Observational

Funder types: Other

Identifiers

NCT04319302

C3619112712050

Details and patient eligibility

About

This was a retrospective case series experience of paediatric patients who had an Isolated vascularized gastric tube biliary enteric drainage procedure for biliary obstruction over the past five years. We reviewed our experience and outcomes.

Full description

Background

Despite the enormous surgical advancements in the last century, access to the biliary system is lost when a Roux-en-Y (RY) biliary drainage procedure is performed. Attempts have been made to overcome this inconvenient sequel of RY biliary drainage by the use of variations in the RY anastomosis, small bowel grafts and vascular grafts. These have been predominantly unsuccessful. The use of an Isolated Vascularized Gastric Tube (IVGT) graft has been reported in the literature, and this was successfully used for adult patients with common bile duct injuries. The investigators have adopted the technique of using an IVGT graft for bile duct reconstruction in the paediatric patients at their institution.

Method

The investigators reviewed theirr experience at Greys Hospital, Pietermaritzburg. This was a retrospective review of all paediatric patients who had undergone an IVGT graft procedure for biliary tract anatomical obstruction in the past five years. The investgators looked at the indications for surgery, the demographic profile of the patients, outcomes following surgery and outlined the surgical technique used.

Enrollment: 8 patients

Sex: All

Ages: Under 12 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All patients from birth to 12 years with biliary tract obstruction requiring surgery.

Exclusion criteria

• biliary atresia

Trial design

8 participants in 1 patient group

Paediatric biliary obstruction

Description:

This was a retrospective review of all paediatric patients who had undergone an IVGT graft procedure for biliary tract anatomical obstruction in the past five years. We looked at the indications for surgery, the demographic profile of the patients, outcomes following surgery and outlined the surgical technique used.

Treatment:

Procedure: Isolated Vascularized Gastric Tube (IVGT) graft