Interesting rendezvous location in a liver transplantation patient with anastomosis stricture.
An endoscopic or radiologic percutaneous approach may be an initial minimally invasive method for treating biliary strictures after living donor liver transplantation; however, cannulation of biliary strictures is sometimes difficult due to the presence of a sharp or twisted angle within the stricture or a complete stricture. When an angulated or twisted biliary stricture interrupts passage of a guidewire over the stricture, it is difficult to replace the percutaneous biliary drainage catheter with inside stents by endoscopic retrograde cholangiopancreatography. The rendezvous technique can be used to overcome this difficulty. In addition to the classical rendezvous method, in cases with complete transection of the common bile duct a modified technique involving the insertion of a snare into the subhepatic space has been successfully performed. Herein, we report a modified rendezvous technique in the duodenal bulb as an extraordinary location for a patient with duct-to-duct anastomotic complete stricture after liver transplantation.
Bulent Odemis, Erkin Oztas, Serkan Torun, Nuredtin Suna, Ertugrul Kayacetin, Department of Gastroenterology, Yuksek Ihtisas Education and Research Hospital, 06100 Ankara, Turkey.
Bulent
B
Odemis
Bulent Odemis, Erkin Oztas, Serkan Torun, Nuredtin Suna, Ertugrul Kayacetin, Department of Gastroenterology, Yuksek Ihtisas Education and Research Hospital, 06100 Ankara, Turkey.
Erkin
E
Oztas
Bulent Odemis, Erkin Oztas, Serkan Torun, Nuredtin Suna, Ertugrul Kayacetin, Department of Gastroenterology, Yuksek Ihtisas Education and Research Hospital, 06100 Ankara, Turkey.
Mehmet
M
Yurdakul
Bulent Odemis, Erkin Oztas, Serkan Torun, Nuredtin Suna, Ertugrul Kayacetin, Department of Gastroenterology, Yuksek Ihtisas Education and Research Hospital, 06100 Ankara, Turkey.
Serkan
S
Torun
Bulent Odemis, Erkin Oztas, Serkan Torun, Nuredtin Suna, Ertugrul Kayacetin, Department of Gastroenterology, Yuksek Ihtisas Education and Research Hospital, 06100 Ankara, Turkey.
Nuredtin
N
Suna
Bulent Odemis, Erkin Oztas, Serkan Torun, Nuredtin Suna, Ertugrul Kayacetin, Department of Gastroenterology, Yuksek Ihtisas Education and Research Hospital, 06100 Ankara, Turkey.
Ertugrul
E
Kayacetin
D057785:Catheters; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000295:instrumentation / Q000379:methods*; D002779:Cholestasis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D003135:Common Bile Duct / Q000000981:diagnostic imaging; D003251:Constriction, Pathologic; D004322:Drainage / Q000295:instrumentation; D004386:Duodenum / Q000000981:diagnostic imaging; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D015607:Stents; D016896:Treatment Outcome
Anastomosis stricture; Duodenal bulb; Endoscopic radiologic rendezvous; Liver transplantation