Gastrointestinal Intervention  2017;6(3):183-186

doi:10.18528/gii160027

De novo hepatico-gastric stent placement for biliary stricture via percutaneous transhepatic biliary approach.

Abhimanyu AGGARWAL 1 ; Auh Whan PARK ; Jonathan WEST

Affiliations

+expand

Keywords

Biliary tract; Drainage; Liver transplantation; Stents

Country

Republic 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.