title: Transjejunal biliary interventions: going back to a road less traveled.
abstract: Percutaneous transhepatic biliary interventions are not without risk and potential complications. In patients with bilioenteric anastomosis in whom repeat biliary interventions are expected, percutaneous transjejunal access is a very useful approach that is not frequently used nowadays. We provide a brief review of the history, indications, and current status of transjejunal biliary interventions. Transjejunal biliary access provides a relatively atraumatic pathway to the biliary system in patients that need repeat interventions. Multiple studies have provided convincing data that in appropriately chosen patients receiving a bilioenteric anastomosis, an antecolic limb of jejunum should be placed for subsequent access in biliary intervention.
authors: Department of Radiology, University of Texas Health Science Center San Antonio, San Antonio, TX, USA.
authors: Jorge E
authors: JE
authors: Lopera
authors: Department of Radiology, University of Texas Health Science Center San Antonio, San Antonio, TX, USA ramseyg@uthscsa.edu.
authors: Gregory R
authors: GR
authors: Ramsey
mesh_terms: D000713:Anastomosis, Roux-en-Y / Q000379:methods*; D001660:Biliary Tract Diseases / Q000601:surgery*; D001662:Biliary Tract Surgical Procedures / Q000379:methods*; D006801:Humans; D007583:Jejunum / Q000601:surgery*
keywords: Biliary; adults; bile duct; dilation; interventional; percutaneous