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A Case of Severe Biliary Anastomotic Stricture after Living Donor Liver Transplantation Successfully Treated Using the Modified Gunsight Technique with Two Balloon Catheters
Biliary stricture is a serious postoperative complication of liver transplantation. We report the case of a 2-year-old boy with severe biliary anastomotic stricture after left lobe living donor liver transplantation. As cannulation from the occluded B3 into the jejunum was impossible using the conve...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The Japanese Society of Interventional Radiology
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9327353/ https://www.ncbi.nlm.nih.gov/pubmed/35909914 http://dx.doi.org/10.22575/interventionalradiology.2021-0008 |
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author | Iwasawa, Sayuri Tamura, Masashi Okamura, Teppei Torikai, Hideyuki Ito, Nobutake Inoue, Masanori Yamada, Yohei Jinzaki, Masahiro Kuroda, Tatsuo Nakatsuka, Seishi |
author_facet | Iwasawa, Sayuri Tamura, Masashi Okamura, Teppei Torikai, Hideyuki Ito, Nobutake Inoue, Masanori Yamada, Yohei Jinzaki, Masahiro Kuroda, Tatsuo Nakatsuka, Seishi |
author_sort | Iwasawa, Sayuri |
collection | PubMed |
description | Biliary stricture is a serious postoperative complication of liver transplantation. We report the case of a 2-year-old boy with severe biliary anastomotic stricture after left lobe living donor liver transplantation. As cannulation from the occluded B3 into the jejunum was impossible using the conventional technique, a gunsight approach was utilized. By puncturing balloons dilated at the occluded site of B3 and the proximal end of the non-occlusive B2, a tract between B3 and B2 was created, and the catheter was finally successfully inserted from B3 into the jejunum through the dilated tract and B2. The gunsight approach is an option for severe biliary strictures when the conventional approach proves impossible. |
format | Online Article Text |
id | pubmed-9327353 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | The Japanese Society of Interventional Radiology |
record_format | MEDLINE/PubMed |
spelling | pubmed-93273532022-07-29 A Case of Severe Biliary Anastomotic Stricture after Living Donor Liver Transplantation Successfully Treated Using the Modified Gunsight Technique with Two Balloon Catheters Iwasawa, Sayuri Tamura, Masashi Okamura, Teppei Torikai, Hideyuki Ito, Nobutake Inoue, Masanori Yamada, Yohei Jinzaki, Masahiro Kuroda, Tatsuo Nakatsuka, Seishi Interv Radiol (Higashimatsuyama) Case Report Biliary stricture is a serious postoperative complication of liver transplantation. We report the case of a 2-year-old boy with severe biliary anastomotic stricture after left lobe living donor liver transplantation. As cannulation from the occluded B3 into the jejunum was impossible using the conventional technique, a gunsight approach was utilized. By puncturing balloons dilated at the occluded site of B3 and the proximal end of the non-occlusive B2, a tract between B3 and B2 was created, and the catheter was finally successfully inserted from B3 into the jejunum through the dilated tract and B2. The gunsight approach is an option for severe biliary strictures when the conventional approach proves impossible. The Japanese Society of Interventional Radiology 2021-07-01 /pmc/articles/PMC9327353/ /pubmed/35909914 http://dx.doi.org/10.22575/interventionalradiology.2021-0008 Text en © 2021 Japanese Society of Interventional Radiology https://creativecommons.org/licenses/by-nc/4.0/Interventional Radiology is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc/4.0/). |
spellingShingle | Case Report Iwasawa, Sayuri Tamura, Masashi Okamura, Teppei Torikai, Hideyuki Ito, Nobutake Inoue, Masanori Yamada, Yohei Jinzaki, Masahiro Kuroda, Tatsuo Nakatsuka, Seishi A Case of Severe Biliary Anastomotic Stricture after Living Donor Liver Transplantation Successfully Treated Using the Modified Gunsight Technique with Two Balloon Catheters |
title | A Case of Severe Biliary Anastomotic Stricture after Living Donor Liver Transplantation Successfully Treated Using the Modified Gunsight Technique with Two Balloon Catheters |
title_full | A Case of Severe Biliary Anastomotic Stricture after Living Donor Liver Transplantation Successfully Treated Using the Modified Gunsight Technique with Two Balloon Catheters |
title_fullStr | A Case of Severe Biliary Anastomotic Stricture after Living Donor Liver Transplantation Successfully Treated Using the Modified Gunsight Technique with Two Balloon Catheters |
title_full_unstemmed | A Case of Severe Biliary Anastomotic Stricture after Living Donor Liver Transplantation Successfully Treated Using the Modified Gunsight Technique with Two Balloon Catheters |
title_short | A Case of Severe Biliary Anastomotic Stricture after Living Donor Liver Transplantation Successfully Treated Using the Modified Gunsight Technique with Two Balloon Catheters |
title_sort | case of severe biliary anastomotic stricture after living donor liver transplantation successfully treated using the modified gunsight technique with two balloon catheters |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9327353/ https://www.ncbi.nlm.nih.gov/pubmed/35909914 http://dx.doi.org/10.22575/interventionalradiology.2021-0008 |
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