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CardioVascular and Interventional Radiology

, Volume 15, Issue 4, pp 256–260 | Cite as

Percutaneous hepaticoneojejunostomy and choledochocholedochal reanastomosis using metallic stents: Technical note

  • Krassi Ivancev
  • Bryan Petersen
  • Lee Hall
  • Paul Ho
  • Kent Benner
  • Josef Rösch
Technical Notes

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.

Key words

Bile duct occlusion Percutaneous reconstruction Metallic stents 

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References

  1. 1.
    Genest JF, Nanos E, Grundfest-Broniatowski S, Vogt D, Hermann RE (1986) Benign biliary strictures: An analytic review (1970 to 1984). Surgery 99:409–413PubMedGoogle Scholar
  2. 2.
    Pitt HA, Miyamoto T, Parapatis SK, Tompkins RK, Longmire WP (1982) Factors influencing outcome in patients with post-operative biliary strictures. AJS 144:14–21Google Scholar
  3. 3.
    Shaw DWW, Coldwell DM, Kimmey M, Goldman ML (1990) Use of the Hawkins-Hunter rocket wire in the biliary system. AJR 154:1101–1102PubMedGoogle Scholar
  4. 4.
    Lang EK (1984) Antegrade ureteral stenting for dehiscence, strictures, and fistulae. AJR 143:795–801PubMedGoogle Scholar
  5. 5.
    Rossi P, Bezzi M, Salvatori FM, Maccioni F, Porcaro ML (1990) Recurrent benign biliary strictures: Management with self-expanding metallic stents. Radiology 175:661–665PubMedGoogle Scholar
  6. 6.
    Lammer J (1990) Biliary endoprostheses: Plastic versus metal stents. Radiol Clin North Am 28(6):1211–1222PubMedGoogle Scholar
  7. 7.
    Neuhaus H, Hagenmüller F, Griebel M, Classen M (1991) Percutaneous cholangioscopic or transpapillary insertion of self-expanding biliary metal stents. Gastrointest Endosc 37(1):31–37PubMedCrossRefGoogle Scholar
  8. 8.
    Maccioni F, Ricci P, Gandini R, Rossi M, Solvatori FM, Rossi P (1991) Mucosal hyperplasia: Factor conditioning long-term patency of biliary metallic stents. Radiology 181(P):216Google Scholar
  9. 9.
    Bateson MC (1990) New directions in primary biliary cirrhosis. Bile acids look promising. BMJ 301:1290–1291PubMedGoogle Scholar

Copyright information

© Springer-Verlag New York Inc. 1992

Authors and Affiliations

  • Krassi Ivancev
    • 1
    • 3
  • Bryan Petersen
    • 1
  • Lee Hall
    • 1
  • Paul Ho
    • 1
  • Kent Benner
    • 2
  • Josef Rösch
    • 1
  1. 1.Charles Dotter Institute of Interventional TherapyPortlandUSA
  2. 2.Department of GastroenterologyOregon Health Sciences UniversityPortlandUSA
  3. 3.Department of Diagnostic Radiology, University of LundMalmö General HospitalMalmöSweden

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