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KMID : 1188320090030040352
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Gut and Liver
2009 Volume.3 No. 4 p.352 ~ p.355
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Percutaneous Transhepatic Cholangioscopic Intervention in the Management of Complete Membranous Occlusion of Bilioenteric Anastomosis: Report of Two Cases
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Yang Dong-Hoon
Lee Sung-Koo
Moon Sung-Hoon
Park Do-Hyun
Lee Sang-Soo
Seo Dong-Wan
Kim Myung-Hwan
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Abstract
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Postoperative biliary stricture is a relatively rare but serious complication of biliary surgery. Although Roux- en-Y hepaticojejunostomy or choledochojejunostomy are well-established and fundamental therapeutic approaches, their postoperative morbidity and mortality rates have been reported to be up to 33% and 13%, respectively. Recent studies suggest that percutaneous transhepatic intervention is an effective and less invasive therapeutic modality compared with traditional surgical treatment. Compared with fluoroscopic intervention, percutaneous with cholangioscopy may be more useful in biliary strictures, as it can provide visual information regarding the stricture site. We recently experienced two cases complete membranous occlusion of the bilioenteric anastomosis and successfully treated both patients using percutaneous transhepatic cholangioscopy.
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KEYWORD
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Bile duct obstruction, Postoperative complications
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