Endoscopy 2022; 54(S 01): S218
DOI: 10.1055/s-0042-1745175
Abstracts | ESGE Days 2022
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ENDOSCOPIC-RADIOLOGIC RENDEZ-VOUS CHOLEDOCHAL RECONSTRUCTION FOR THE TREATMENT OF POST-SURGICAL COMMON BILE DUCT TRANSECTION

D. Costa
1   ULSS2 Marca Trevigiana, Endoscopy Unit, Conegliano, Italy
,
A. Tringali
2   National Tumour Institute of Milan, Endoscopy Unit, Milan, Italy
,
G. Greco
3   National Tumour Institute of Milan, Interventional Radiology, Milan, Italy
,
R. Lanocita
3   National Tumour Institute of Milan, Interventional Radiology, Milan, Italy
,
M. Cosimelli
4   National Tumour Institute of Milan, Colorectal Surgery Unit, Milan, Italy
,
V. Mazzaferro
5   National Tumour Institute of Milan, HPB Surgery and Liver Transplantation, Milan, Italy
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A 76-year-old female presented complete choledochal transection (E3 Strasberg) after combined cytoreductive surgery with Hyperthermic Intra Peritoneal Chemotherapy for Pseudomyxoma Peritonei.

A rendez-vous procedure by percutaneous and endoscopic approach was performed. The sphincterotome with the stiff tip of the guidewire was advanced until reaching the common bile duct (CBD) transection, closed by metal clips. The CBD was then punctured by the guidewire and a basket was advanced percutaneously through the anterior duct, over the CBD transection until grasping the wire, restoring the CBD. Finally, a FC-SEMS was placed endoscopically over the guidewire. Cholangiography showed no leak of medium contrast.



Publication History

Article published online:
14 April 2022

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