| Article ID | Journal | Published Year | Pages | File Type |
|---|---|---|---|---|
| 4237572 | Journal of Vascular and Interventional Radiology | 2015 | 6 Pages |
Abstract
A technique of percutaneous hepaticojejunostomy (PHJ) was developed to allow creation of a neoanastomosis in cases of hepaticojejunostomy (HJ) dehiscence when endoscopic intervention is unfeasible as a result of postsurgical anatomy. PHJ involves transhepatic biliary catheterization and transjejunal retrograde enterotomy. A rendezvous establishes the communication between the bile ducts and the jejunum. PHJ was performed in five patients, and neoanastomosis creation without residual biliary leak was achieved in all cases, with no procedure-related complications. Bilirubin levels and white blood cell counts quickly decreased after PHJ (median, 1 d; range, 1-4 d). Median survival after PHJ was 210 days (range, 45-540 d).
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Authors
Giancarlo MD, Alberto MD, Giulia A. MD, Riccardo MD,