Percutaneous hepaticoneojejunostomy and choledochocholedochal reanastomosis using metallic stents: technical note.
A new, nonsurgical approach to biliary duct reconstruction in two high-operative risk patients is presented. The first patient with an obstructed hepaticojejunostomy underwent such reconstruction by placement of Wallstent, which remained patent 9 months until death from recurrent tumor. The second patient with an inadvertently ligated common bile duct underwent a combined percutaneous transhepatic-retrograde endoscopic reconstruction with placement of a Gianturco-Rösch (GR) stent. Because of occlusion by granulation tissue 5 months later, a new GR stent covered with a silicone membrane was placed within the initial stent. Nine months after the second GR stent placement there is no evidence of obstruction.
Ivancev
K
K
Charles Dotter Institute of Interventional Therapy, Oregon Health Sciences University, Portland.
Petersen
B
B
Hall
L
L
Ho
P
P
Benner
K
K
Rösch
J
J
D000328:Adult; D000368:Aged; D001652:Bile Ducts / Q000601:surgery; D001651:Cholestasis, Extrahepatic / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D003135:Common Bile Duct / Q000601:surgery; D006500:Hepatic Duct, Common / Q000601:surgery; D006801:Humans; D007583:Jejunum / Q000601:surgery; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D011859:Radiography; D015607:Stents