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DOI: 10.1055/s-0042-1744670
RENDEZVOUS DOUBLE-BALLOON-ENTEROSCOPY ERCP AND PERCUTANEOUS TRANSHEPATIC CHOLANGIODRAINAGE (PTCD) IN THE SETTING OF ROUX-EN-Y HEPATICOJEJUNOSTOMY AFTER LIVER TRANSPLANT
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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