Percutaneous Transhepatic Cholangioscopic Intervention in the Management of Complete Membranous Occlusion of Bilioenteric Anastomosis: Report of Two Cases.
- Author:
Dong Hoon YANG
1
;
Sung Koo LEE
;
Sung Hoon MOON
;
Do Hyun PARK
;
Sang Soo LEE
;
Dong Wan SEO
;
Myung Hwan KIM
Author Information
1. Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. sklee@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Bile duct obstruction;
Postoperative complications
- MeSH:
Choledochostomy;
Cholestasis;
Constriction, Pathologic;
Humans;
Postoperative Complications
- From:Gut and Liver
2009;3(4):352-355
- CountryRepublic of Korea
- Language:English
-
Abstract:
Postoperative biliary stricture is a relatively rare but serious complication of biliary surgery. Although Rouxen-Y hepaticojejunostomy or choledochojejunostomy are well-established and fundamental therapeutic approaches, their postoperative morbidity and mortality rates have been reported to be up to 33% and 13%, respectively. Recent studies suggest that percutaneous transhepatic intervention is an effective and less invasive therapeutic modality compared with traditional surgical treatment. Compared with fluoroscopic intervention, percutaneous with cholangioscopy may be more useful in biliary strictures, as it can provide visual information regarding the stricture site. We recently experienced two cases complete membranous occlusion of the bilioenteric anastomosis and successfully treated both patients using percutaneous transhepatic cholangioscopy.
