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CardioVascular and Interventional Radiology

, Volume 42, Issue 3, pp 466–470 | Cite as

Percutaneous Patency Recovery and Biodegradable Stent Placement in a Totally Occluded Hepaticojejunostomy After Paediatric Living Donor Liver Transplantation

  • Pablo Ezequiel HuespeEmail author
  • Sebastian Oggero
  • Martín de Santibañes
  • Gustavo Boldrini
  • Daniel D´Agostino
  • Juan Pekolj
  • Eduardo de Santibañes
  • Miguel Ciardullo
  • Sung Ho Hyon
Case Report
  • 52 Downloads

Abstract

Biliary complications after living donor liver transplantation (LDLT) cause severe morbidity and mortality, with biliary anastomotic stricture being the most common form of presentation. Surgical revision is risky, and it is avoided whenever possible. When a Roux-en-Y hepaticojejunostomy (RYHJ) is used for bilioenteric reconstruction, endoscopic approach is more difficult, if not impracticable. Therefore, percutaneous approach remains as a first-line treatment in these patients. In this case presentation, a percutaneous approach was used to recover patency in an intractable, totally occluded RYHJ stricture in an LDLT paediatric recipient, using a Rösch-Uchida needle to access to the collapsed jejunal loop from the bile duct. Once recanalization of the RYHJ was achieved, a biodegradable stent was placed with middle-term patency at follow-up.

Keywords

Hepaticojejunostomy stricture Biodegradable stents Biliary stents Interventional radiology 

Notes

Compliance with Ethical Standards

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Ethics Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Informed Consent

Informed consent and consent for publication were obtained from the patient’s parents.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2018

Authors and Affiliations

  • Pablo Ezequiel Huespe
    • 1
    Email author
  • Sebastian Oggero
    • 1
  • Martín de Santibañes
    • 3
  • Gustavo Boldrini
    • 2
  • Daniel D´Agostino
    • 2
  • Juan Pekolj
    • 3
  • Eduardo de Santibañes
    • 3
  • Miguel Ciardullo
    • 3
  • Sung Ho Hyon
    • 1
  1. 1.Image Guided Minimally Invasive Surgery UnitHospital Italiano de Buenos AiresBuenos AiresArgentina
  2. 2.Gastroenterology-Hepatology Division, Liver-Intestinal Transplantation CenterHospital Italiano de Buenos AiresBuenos AiresArgentina
  3. 3.General Surgery and Liver Transplant UnitHospital Italiano de Buenos AiresBuenos AiresArgentina

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