Back to Search Start Over

A modification of rendezvous technique for endoscopically treating transected common bile duct following cholecystectomy

Authors :
Vishal Sharma
K. V. Raghavendra Prasada
Surinder S. Rana
A. C. Arun
Anupam Lal
Rajesh Gupta
Deepak K. Bhasin
Source :
Journal of Digestive Endoscopy, Vol 05, Iss 03, Pp 129-131 (2014)
Publication Year :
2014
Publisher :
Thieme Medical and Scientific Publishers Pvt. Ltd., 2014.

Abstract

Endoscopic therapy is the standard of care for management of most benign biliary strictures. However, endoscopic therapy can fail in very tight strictures. We report a case of a 52-year-old lady who had complete bile duct transection with stricture after laparoscopic cholecystectomy. In initial attempt, at endoscopic retrograde cholangiopancreatography (ERCP), guidewire could not be negotiated endoscopically across the narrowing as there was complete cut off of the bile duct and so a percutaneous transhepatic biliary drainage (PTBD) was done and subsequently internalized into the duodenum. We cannulated the internalized end of PTBD catheter with the standard ERCP cannula with guidewire and advanced it across the biliary stricture. PTBD catheter was withdrawn externally, and the guidewire was left in the left ductal system. We report this innovation as this may be helpful in managing patients with ERCP after an initial PTBD has been successfully internalized into the duodenum.

Details

Language :
English
ISSN :
09765042 and 09765050
Volume :
05
Issue :
03
Database :
Directory of Open Access Journals
Journal :
Journal of Digestive Endoscopy
Publication Type :
Academic Journal
Accession number :
edsdoj.ff09f4a94a4f47ceae28a11fc950f4e9
Document Type :
article
Full Text :
https://doi.org/10.4103/0976-5042.147503