MOTORIZED SPIRAL ENTEROSCOPE GUIDED BILIARY INTERVENTION FOR RELIEF OF OBSTRUCTIVE JAUNDICE IN PATIENT WITH HEPATICOJEJUNOSTOMY

A 47-year-old male with hepaticojejunostomy (HJ) done for postcholecystectomy biliary injury 2 years ago, presented with recurrent jaundice, abdominal pain, intermittent fever for three months.Workup showed serum bilirubin-21.7 mg/dl, alkaline phosphatase-347 IU/ml, WBC count-18300/mm³. MRCP showed dilated biliary radicles with HJ site stricture. Motorized spiral enteroscope-guided ERCP was done under general anesthesia. HJ site was identified 50 cm distal to the jejunojejunostomy site. Cholangiogram showed prominent biliary radicles with multiple filling defects. HJ stricture was dilated with a 6 mm balloon, and black pigmented stones were suctioned out. A 7 Fr pigtail plastic stent was placed. He was discharged later.

Publication History

Article published online:
14 April 2022