Percutaneous hepaticoneojejunostomy and choledochocholedochal reanastomosis using metallic stents: Technical note

Krassi Ivancev, Bryan Petersen, Lee Hall, Paul Ho, Kent Benner, Josef Rösch

Research output: Contribution to journalArticle

6 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)256-260
Number of pages5
JournalCardiovascular and interventional radiology
Volume15
Issue number4
DOIs
StatePublished - Jul 1 1992

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Keywords

  • Bile duct occlusion
  • Metallic stents
  • Percutaneous reconstruction

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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