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KMID : 1048120170060030183
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International Journal of Gastrointestinal Intervention
2017 Volume.6 No. 3 p.183 ~ p.186
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De novo hepatico-gastric stent placement for biliary stricture via percutaneous transhepatic biliary approach
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Aggarwal Abhimanyu
Park Auh-Whan
West Jonathan
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Abstract
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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.
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KEYWORD
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Biliary tract, Drainage, Liver transplantation, Stents
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