Percutaneous hepaticoneojejunostomy and choledochocholedochal reanastomosis using metallic stents: Technical note |
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Authors: | Krassi Ivancev Bryan Petersen Lee Hall Paul Ho Kent Benner Josef Rösch |
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Affiliation: | 1. Charles Dotter Institute of Interventional Therapy, Portland, Oregon, USA 2. Department of Diagnostic Radiology, University of Lund, Malm? General Hospital, S-214 01, Malm?, Sweden 3. Department of Gastroenterology, Oregon Health Sciences University, Portland, Oregon, USA
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Abstract: | A new, nonsurgical approach to biliary duct reconstruction in two high-operative risk patients is presented. The first patient with an obstructed hepaticojejunostomy underwent such reconstruction by placement of Wallstent, which remained patent 9 months until death from recurrent tumor. The second patient with an inadvertently ligated common bile duct underwent a combined percutaneous transhepatic-retrograde endoscopic reconstruction with placement of a Gianturco-Rösch (GR) stent. Because of occlusion by granulation tissue 5 months later, a new GR stent covered with a silicone membrane was placed within the initial stent. Nine months after the second GR stent placement there is no evidence of obstruction. |
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Keywords: | Bile duct occlusion Percutaneous reconstruction Metallic stents |
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