title: A case of biliary stones and anastomotic biliary stricture after liver transplant treated with the rendez-vous technique and electrokinetic lithotritor.
abstract: The paper studies the combined radiologic and endoscopic approach (rendez-vous technique) to the treatment of the biliary complications following liver transplant. The "rendez-vous" technique was used with an electrokinetic lithotripter, in the treatment of a biliary anastomotic stricture with multiple biliary stones in a patient who underwent orthotopic liver transplant. In this patient, endoscopic or percutaneous transhepatic management of the biliary complication failed. The combined approach, percutaneous transhepatic and endoscopic treatment (rendez-vous technique) with the use of an electrokinetic lithotritor, was used to solve the biliary stenosis and to remove the stones. Technical success, defined as disappearance of the biliary stenosis and stone removal, was obtained in just one session, which definitively solved the complications. The combined approach of percutaneous transhepatic and endoscopic (rendez-vous technique) treatment, in association with an electrokinetic lithotritor, is a safe and feasible alternative treatment, especially after the failure of endoscopic and/or percutaneous trans-hepatic isolated procedures.
authors.affiliation: Department of Gastroenterology, IsMeTT, UPMC, Via Tricomi 1, Palermo 90100, Italy. mdipisa@ismett.edu
authors.forename: Marta
authors.initials: M
authors.lastname: Di Pisa
authors.forename: Mario
authors.initials: M
authors.lastname: Traina
authors.forename: Roberto
authors.initials: R
authors.lastname: Miraglia
authors.forename: Luigi
authors.initials: L
authors.lastname: Maruzzelli
authors.forename: Riccardo
authors.initials: R
authors.lastname: Volpes
authors.forename: Salvatore
authors.initials: S
authors.lastname: Piazza
authors.forename: Angelo
authors.initials: A
authors.lastname: Luca
authors.forename: Bruno
authors.initials: B
authors.lastname: Gridelli
mesh_terms: D000368:Aged; D017081:Cholecystectomy, Laparoscopic; D002779:Cholestasis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D016099:Endoscopy, Gastrointestinal; D042882:Gallstones / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008096:Lithotripsy; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male