RE: Ruth/

[Guest guest]

My son has crohns and he had a roux-en-y with his tx. MartiCaroline & Aubrey wrote: Certainly having Crohn's does rule out doing a roux-en-y procedure. As for hepatic artery narrowing at the anastamosis, this is a common surgical complication of any anastamosis of "tubes", arteries, veins, etc. It's a significant but limited risk in liver transplant surgery. Significant because it can reduce blood flow and limited because it doesn't happen all that often. When it does it can compromise the new liver and it's function. Similarly the anastamosis of the bile duct to the small bowel can stricture post-op and cause problems for the flow of bile. Some people are more prone to this type of scarring when healing. Sounds like has these issues. I hope they figure out a

way to deal with them that prevents her needing another transplant.Aubrey, MDPSC '81, UC '90, LTX '98, Recurrence '05

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[Guest guest]

Ditto for my son. Although, I wonder if

it makes a difference since Todd has Crohns colitis. His Crohns has never effected

his small intestine. Will a roux-en-y cause a problem in the future with Crohns?

Joanne (mom of Todd)

-----Original Message-----

My son has crohns and he had a roux-en-y with his tx.

Marti

Caroline & Aubrey

wrote:

Certainly

having Crohn's does rule out doing a roux-en-y procedure. As

for hepatic artery narrowing at the anastamosis,

this is a common

surgical complication of any anastamosis of

" tubes " , arteries, veins,

etc. It's a significant but limited risk in liver

transplant surgery.

Significant because it can reduce blood flow and

limited because it

doesn't happen all that often. When it does it can

compromise the new

liver and it's function. Similarly the anastamosis

of the bile duct to

the small bowel can stricture post-op and cause

problems for the flow

of bile. Some people are more prone to this type

of scarring when

healing. Sounds like has these issues. I

hope they figure out a

way to deal with them that prevents her needing

another transplant.

Aubrey, MD

PSC '81, UC '90, LTX '98, Recurrence '05

[Guest guest]

we have not been told it will. 's crohn's has been under control for years so it has been a nonissue. I just got an email that one of the people in our local tx support group that has been waiting for a kidney for a long time got one this week. A stranger read about and donated it. People are awesome. MartiJoanne Grieme wrote: Ditto for my son. Although, I wonder if it makes a difference since Todd has Crohns

colitis. His Crohns has never effected his small intestine. Will a roux-en-y cause a problem in the future with Crohns? Joanne (mom of Todd) -----Original Message----- My son has crohns and he had a roux-en-y with his tx. MartiCaroline & Aubrey wrote: Certainly having Crohn's does rule out doing a roux-en-y procedure. As for hepatic artery narrowing at the anastamosis, this is a common surgical complication of any anastamosis of "tubes", arteries, veins, etc. It's a significant but limited risk in liver transplant surgery. Significant because it can reduce blood flow and limited because it doesn't happen all that often. When it does it can compromise the new liver and it's function. Similarly the anastamosis of the bile duct to the small bowel can stricture post-op and cause problems for the flow of bile. Some people are more prone to this type of scarring when healing. Sounds like has these issues. I hope they figure out a way to deal with them that prevents her needing another transplant.Aubrey, MDPSC '81, UC '90, LTX '98, Recurrence '05

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