The Hutson loop and prosthesis: clinical uses in hepato-biliary intervention.
A number of method of making a Roux-en-Y hepaticojejunostomy have been advocated to help the radiologist gain access to the biliary system. We have found markers and rings unsatisfactory and therefore designed and tested our own prosthesis. Reliable rapid access is easily achieved using this device with a much reduced radiation dose to both patient and radiologist. The prosthesis has been used for the past 3 years, and the last 23 patients are reviewed. Seven patients have required repeated interventions via the loop and we present the findings and our results.
Cameron
D C
DC
Department of Radiology, Royal Perth Hospital, Western Australia.
Frazer
C K
CK
D000328:Adult; D000713:Anastomosis, Roux-en-Y / Q000295:instrumentation* / Q000379:methods; D001649:Bile Duct Diseases / Q000601:surgery; D002768:Choledochostomy / Q000295:instrumentation; D002769:Cholelithiasis / Q000601:surgery; D003251:Constriction, Pathologic / Q000601:surgery; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011171:Portoenterostomy, Hepatic / Q000295:instrumentation; D019736:Prostheses and Implants; D011474:Prosthesis Design; D015641:Radiography, Interventional / Q000295:instrumentation*; D012189:Retrospective Studies; D015607:Stents