Endoscopy 2022; 54(S 01): S53
DOI: 10.1055/s-0042-1744670
Abstracts | ESGE Days 2022
ESGE Days 2022 Oral presentations
08:30-09:30 Friday, 29 April 2022 Club H. Altered anatomy: Finding solutions

RENDEZVOUS DOUBLE-BALLOON-ENTEROSCOPY ERCP AND PERCUTANEOUS TRANSHEPATIC CHOLANGIODRAINAGE (PTCD) IN THE SETTING OF ROUX-EN-Y HEPATICOJEJUNOSTOMY AFTER LIVER TRANSPLANT

K. Mönkemüller
1   Ameos University Teaching Hospital, Gastroenterology, Halberstadt, Germany
,
T. Kröner
1   Ameos University Teaching Hospital, Gastroenterology, Halberstadt, Germany
,
A. Alvaro Martínez-Alcalá
1   Ameos University Teaching Hospital, Gastroenterology, Halberstadt, Germany
› Author Affiliations
 

We performed a double-balloon-enteroscopy ERCP in a patient with Roux-en-Y hepaticojejunostomy after liver transplant. The patient had undergone prior percutaneous transhepatic cholangiodrainage (PTCD) due to cholestasis and a tight hepaticojejunostomy stenosis. During DBE we reached the hepaticojejunostomy endoscopically, but due to massive looping of the enteroscope it was impossible to advance any therapeutic devices through the scope. Thus, we changed to combined DBE-ERCP with PTCD rendezvous. First, we dilated the hepaticojejunostomy percutaneously using endoscopic controlled-radial-expansion balloons, and then placed the large caliber (10 Fr) endoscopic plastic stents through-the-skin under endoscopic control, with excellent results.



Publication History

Article published online:
14 April 2022

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