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Percutaneous Patency Recovery and Biodegradable Stent Placement in a Totally Occluded Hepaticojejunostomy After Paediatric Living Donor Liver Transplantation.
- Source :
-
Cardiovascular and interventional radiology [Cardiovasc Intervent Radiol] 2019 Mar; Vol. 42 (3), pp. 466-470. Date of Electronic Publication: 2018 Nov 12. - Publication Year :
- 2019
-
Abstract
- Biliary complications after living donor liver transplantation (LDLT) cause severe morbidity and mortality, with biliary anastomotic stricture being the most common form of presentation. Surgical revision is risky, and it is avoided whenever possible. When a Roux-en-Y hepaticojejunostomy (RYHJ) is used for bilioenteric reconstruction, endoscopic approach is more difficult, if not impracticable. Therefore, percutaneous approach remains as a first-line treatment in these patients. In this case presentation, a percutaneous approach was used to recover patency in an intractable, totally occluded RYHJ stricture in an LDLT paediatric recipient, using a Rösch-Uchida needle to access to the collapsed jejunal loop from the bile duct. Once recanalization of the RYHJ was achieved, a biodegradable stent was placed with middle-term patency at follow-up.
- Subjects :
- Bile Ducts diagnostic imaging
Bile Ducts physiopathology
Bile Ducts surgery
Child
Cholangiopancreatography, Magnetic Resonance
Constriction, Pathologic
Female
Humans
Liver surgery
Postoperative Complications diagnostic imaging
Postoperative Complications physiopathology
Treatment Outcome
Ultrasonography, Interventional
Absorbable Implants
Endovascular Procedures methods
Jejunostomy
Liver Transplantation
Postoperative Complications surgery
Stents
Vascular Patency physiology
Subjects
Details
- Language :
- English
- ISSN :
- 1432-086X
- Volume :
- 42
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Cardiovascular and interventional radiology
- Publication Type :
- Academic Journal
- Accession number :
- 30420998
- Full Text :
- https://doi.org/10.1007/s00270-018-2115-9