De novo hepatico-gastric stent placement for biliary stricture via percutaneous transhepatic biliary approach.
- Author:
Abhimanyu AGGARWAL
1
;
Auh Whan PARK
;
Jonathan WEST
Author Information
- Publication Type:Case Report
- Keywords: Biliary tract; Drainage; Liver transplantation; Stents
- MeSH: Adult; Bile Ducts; Biliary Tract; Cholangitis; Constriction, Pathologic*; Drainage; Follow-Up Studies; Humans; Jejunum; Liver; Liver Transplantation; Living Donors; Male; Stents*; Stomach
- From:Gastrointestinal Intervention 2017;6(3):183-186
- CountryRepublic of Korea
- Language:English
- Abstract: Biliary stricture formation is a known complication of hepatic surgery in cases of adult living donor liver transplant. In our case, successful percutaneous placement of a hepatico-gastric stent was performed for the drainage of an isolated bile duct after right liver transplant with Roux-en-Y biliary anastomosis in a 42-year-old male. The patient initially presented with cholangitis and a percutaneous transhepatic cholangiogram revealed an isolated stricture of the posterior bile duct. Multiple attempts at regaining continuity of the isolated bile duct with the jejunum were unsuccessful. Thus a tract was created via a percutaneous transhepatic and transluminal approach between the isolated duct and the stomach using a covered stent. The patient had no complications at 18-month follow-up.
