Gastrointest Interv.
2017 Oct;6(3):183-186. 10.18528/gii160027.
De novo hepatico-gastric stent placement for biliary stricture via percutaneous transhepatic biliary approach
- Affiliations
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- 1Radiology and Medical Imaging, University of Virginia School of Medicine, Charlottesville, VI, USA. abhiaggarwalmd@gmail.com
- KMID: 2394436
- DOI: http://doi.org/10.18528/gii160027
Abstract
- Biliary stricture formation is a known complication of hepatic surgery in cases of adult living donor liver transplant. In our case, successful percutaneous placement of a hepatico-gastric stent was performed for the drainage of an isolated bile duct after right liver transplant with Roux-en-Y biliary anastomosis in a 42-year-old male. The patient initially presented with cholangitis and a percutaneous transhepatic cholangiogram revealed an isolated stricture of the posterior bile duct. Multiple attempts at regaining continuity of the isolated bile duct with the jejunum were unsuccessful. Thus a tract was created via a percutaneous transhepatic and transluminal approach between the isolated duct and the stomach using a covered stent. The patient had no complications at 18-month follow-up.
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