Int J Gastrointest Interv.
2019 Jan;8(1):41-44. 10.18528/ijgii180037.
Percutaneous-transhepatic creation of a bilioenteric neoanastomosis in a patient with bile duct injury using cone-beam computed tomography
- Affiliations
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- 1MD Anderson Cancer Center, Houston, TX, USA. nathan.wnuk@gmail.com
- 2Department of Vascular and Interventional Radiology, MD Anderson Cancer Center, Houston, TX, USA.
- 3Siemens Medical Solutions USA Inc., Hoffman Estates, IL, USA.
- 4Department of Surgical Oncology, Division of Surgery, MD Anderson Cancer Center, Houston, TX, USA.
- KMID: 2437968
- DOI: http://doi.org/10.18528/ijgii180037
Abstract
- We describe the creation of a percutaneous transhepatic bilioenteric neoanastomosis with the aid of cone-beam computed tomography (CBCT) in a patient suffering from a complicated bile leak after extensive hepatobiliary surgery. Access to the afferent bowel limb was safely performed in a single-stick manner via transhepatic approach with the aid of real-time navigation fluoroscopic imaging generated by CBCT arteriography. CBCT confirmed access of the afferent limb and absence of peri-anastomotic vessel damage, allowing the successful creation of a bilioenteric neoanastomosis, resolving the patient's biliary leak. The patient is alive and asymptomatic at 12-month follow-up, demonstrating patency of the percutaneous bilioenteric neoanastomosis.
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