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Totally percutaneous rendezvous technique for the treatment of complete biliary obstruction after liver transplant

Biliary complications, including biliary stricture and obstruction, remain a major cause of morbidity and mortality after living donor liver transplantation. In these patients the biliary system may not be accessible by endoscopic approach due to Roux-en-Y hepaticojejunostomy, and a percutaneous app...

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Detalles Bibliográficos
Autores principales: Kord, Ali, Patel, Manish, Bui, James T
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8857540/
https://www.ncbi.nlm.nih.gov/pubmed/35242253
http://dx.doi.org/10.1016/j.radcr.2022.01.074
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author Kord, Ali
Patel, Manish
Bui, James T
author_facet Kord, Ali
Patel, Manish
Bui, James T
author_sort Kord, Ali
collection PubMed
description Biliary complications, including biliary stricture and obstruction, remain a major cause of morbidity and mortality after living donor liver transplantation. In these patients the biliary system may not be accessible by endoscopic approach due to Roux-en-Y hepaticojejunostomy, and a percutaneous approach may be considered to avoid surgical interventions. When there is complete biliary obstruction, the conventional percutaneous approaches may not be successful to cross the hepaticojejunostomy anastomosis. In this study, a totally percutaneous rendezvous technique was used to create a neo-biliary-enteric tract using a trans-biliary Rosch-Uchida needle in a patient with complete biliary obstruction and Roux-en-Y anastomosis after a split liver transplant. A biodegradable stent was placed after recanalization with long-term patency on follow up.
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spelling pubmed-88575402022-03-02 Totally percutaneous rendezvous technique for the treatment of complete biliary obstruction after liver transplant Kord, Ali Patel, Manish Bui, James T Radiol Case Rep Case Report Biliary complications, including biliary stricture and obstruction, remain a major cause of morbidity and mortality after living donor liver transplantation. In these patients the biliary system may not be accessible by endoscopic approach due to Roux-en-Y hepaticojejunostomy, and a percutaneous approach may be considered to avoid surgical interventions. When there is complete biliary obstruction, the conventional percutaneous approaches may not be successful to cross the hepaticojejunostomy anastomosis. In this study, a totally percutaneous rendezvous technique was used to create a neo-biliary-enteric tract using a trans-biliary Rosch-Uchida needle in a patient with complete biliary obstruction and Roux-en-Y anastomosis after a split liver transplant. A biodegradable stent was placed after recanalization with long-term patency on follow up. Elsevier 2022-02-16 /pmc/articles/PMC8857540/ /pubmed/35242253 http://dx.doi.org/10.1016/j.radcr.2022.01.074 Text en © 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Kord, Ali
Patel, Manish
Bui, James T
Totally percutaneous rendezvous technique for the treatment of complete biliary obstruction after liver transplant
title Totally percutaneous rendezvous technique for the treatment of complete biliary obstruction after liver transplant
title_full Totally percutaneous rendezvous technique for the treatment of complete biliary obstruction after liver transplant
title_fullStr Totally percutaneous rendezvous technique for the treatment of complete biliary obstruction after liver transplant
title_full_unstemmed Totally percutaneous rendezvous technique for the treatment of complete biliary obstruction after liver transplant
title_short Totally percutaneous rendezvous technique for the treatment of complete biliary obstruction after liver transplant
title_sort totally percutaneous rendezvous technique for the treatment of complete biliary obstruction after liver transplant
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8857540/
https://www.ncbi.nlm.nih.gov/pubmed/35242253
http://dx.doi.org/10.1016/j.radcr.2022.01.074
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