Interesting rendezvous location in a liver transplantation patient with anastomosis stricture


Odemis B., Oztas E., Yurdakul M., Torun S., Suna N., Kayacetin E.

WORLD JOURNAL OF GASTROENTEROLOGY, cilt.20, sa.42, ss.15916-15919, 2014 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 20 Sayı: 42
  • Basım Tarihi: 2014
  • Doi Numarası: 10.3748/wjg.v20.i42.15916
  • Dergi Adı: WORLD JOURNAL OF GASTROENTEROLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.15916-15919
  • Eskişehir Osmangazi Üniversitesi Adresli: Evet

Özet

An endoscopic or radiologic percutaneous approach may be an initial minimally invasive method for treating biliary strictures after living donor liver transplantation; however, cannulation of biliary strictures is sometimes difficult due to the presence of a sharp or twisted angle within the stricture or a complete stricture. When an angulated or twisted biliary stricture interrupts passage of a guidewire over the stricture, it is difficult to replace the percutaneous biliary drainage catheter with inside stents by endoscopic retrograde cholangiopancreatography. The rendezvous technique can be used to overcome this difficulty. In addition to the classical rendezvous method, in cases with complete transection of the common bile duct a modified technique involving the insertion of a snare into the subhepatic space has been successfully performed. Herein, we report a modified rendezvous technique in the duodenal bulb as an extraordinary location for a patient with duct-to-duct anastomotic complete stricture after liver transplantation. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.