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
  • 1Radiology and Medical Imaging, University of Virginia School of Medicine, Charlottesville, VI, USA. abhiaggarwalmd@gmail.com

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.

Keyword

Biliary tract; Drainage; Liver transplantation; Stents

MeSH Terms

Adult
Bile Ducts
Biliary Tract
Cholangitis
Constriction, Pathologic*
Drainage
Follow-Up Studies
Humans
Jejunum
Liver
Liver Transplantation
Living Donors
Male
Stents*
Stomach
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