title: Retrograde Percutaneous Transjejunal Creation of Biliary Neoanastomoses in Patients with Complete Hepaticojejunostomy Dehiscence.
abstract: A technique of percutaneous hepaticojejunostomy (PHJ) was developed to allow creation of a neoanastomosis in cases of hepaticojejunostomy (HJ) dehiscence when endoscopic intervention is unfeasible as a result of postsurgical anatomy. PHJ involves transhepatic biliary catheterization and transjejunal retrograde enterotomy. A rendezvous establishes the communication between the bile ducts and the jejunum. PHJ was performed in five patients, and neoanastomosis creation without residual biliary leak was achieved in all cases, with no procedure-related complications. Bilirubin levels and white blood cell counts quickly decreased after PHJ (median, 1 d; range, 1-4 d). Median survival after PHJ was 210 days (range, 45-540 d).
authors.affiliation: Department of Radiology, G.B. Rossi Hospital, University of Verona, Piazzale L.A. Scuro 10, 37134, Verona, Italy.
authors.forename: Giancarlo
authors.initials: G
authors.lastname: Mansueto
authors.affiliation: Department of Radiology, G.B. Rossi Hospital, University of Verona, Piazzale L.A. Scuro 10, 37134, Verona, Italy.
authors.forename: Alberto
authors.initials: A
authors.lastname: Contro
authors.affiliation: Department of Radiology, G.B. Rossi Hospital, University of Verona, Piazzale L.A. Scuro 10, 37134, Verona, Italy.
authors.forename: Giulia A
authors.initials: GA
authors.lastname: Zamboni
authors.affiliation: Department of Radiology, G.B. Rossi Hospital, University of Verona, Piazzale L.A. Scuro 10, 37134, Verona, Italy. Electronic address: riccardo.derobertis@hotmail.it.
authors.forename: Riccardo
authors.initials: R
authors.lastname: De Robertis
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods*; D001652:Bile Ducts / Q000601:surgery*; D005260:Female; D006498:Hepatectomy / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D007582:Jejunostomy / Q000009:adverse effects / Q000379:methods*; D007583:Jejunum / Q000601:surgery; D008875:Middle Aged; D013529:Surgical Wound Dehiscence / Q000209:etiology* / Q000601:surgery*; D016896:Treatment Outcome