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Title: Percutaneous Hepaticojejunostomy Using a Radiofrequency Wire for Management of a Postoperative Bile Leak

Abstract

Postoperative biliary complications following extensive hepatic resections are complex, often requiring a multidisciplinary team approach. We describe a case of a free bile duct leak following extended right hepatectomy and surgical hepaticojejunostomy treated with percutaneous transhepatic hepaticojejunostomy in which a radiofrequency guidewire was used to gain enteral access. A modified internal/external biliary catheter was left in place. The patient was enrolled in a benign biliary stricture protocol, and 8 months later, the catheter was removed following a normal cholangiogram and biliary manometric perfusion testing. At 3-month follow-up after catheter removal, the patient is asymptomatic with no clinical, biochemical, or radiographic evidence of biliary leak or obstruction.

Authors:
 [1];  [2]; ; ;  [1]
  1. University of Pittsburgh School of Medicine, Interventional Radiology, Department of Radiology (United States)
  2. Johns Hopkins University, Division of Interventional Radiology (United States)
Publication Date:
OSTI Identifier:
22645358
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 40; Journal Issue: 1; Conference: BSIR 2016: Britisch Society of Interventional Radiology 2016 annual meeting, Manchester (United Kingdom), 15-17 Nov 2016; Other Information: Copyright (c) 2017 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BILE; BILIARY TRACT; COMPLEXES; HEPATECTOMY; LEAKS; LIVER; MANAGEMENT; PATIENTS; RADIOWAVE RADIATION; WIRES

Citation Formats

Close, Orrie N., Akinwande, Olaguoke, Varma, Rakesh K., Santos, Ernesto, and Kim, Hyun S., E-mail: kevin.kim@yale.edu. Percutaneous Hepaticojejunostomy Using a Radiofrequency Wire for Management of a Postoperative Bile Leak. United States: N. p., 2017. Web. doi:10.1007/S00270-016-1468-1.
Close, Orrie N., Akinwande, Olaguoke, Varma, Rakesh K., Santos, Ernesto, & Kim, Hyun S., E-mail: kevin.kim@yale.edu. Percutaneous Hepaticojejunostomy Using a Radiofrequency Wire for Management of a Postoperative Bile Leak. United States. doi:10.1007/S00270-016-1468-1.
Close, Orrie N., Akinwande, Olaguoke, Varma, Rakesh K., Santos, Ernesto, and Kim, Hyun S., E-mail: kevin.kim@yale.edu. Sun . "Percutaneous Hepaticojejunostomy Using a Radiofrequency Wire for Management of a Postoperative Bile Leak". United States. doi:10.1007/S00270-016-1468-1.
@article{osti_22645358,
title = {Percutaneous Hepaticojejunostomy Using a Radiofrequency Wire for Management of a Postoperative Bile Leak},
author = {Close, Orrie N. and Akinwande, Olaguoke and Varma, Rakesh K. and Santos, Ernesto and Kim, Hyun S., E-mail: kevin.kim@yale.edu},
abstractNote = {Postoperative biliary complications following extensive hepatic resections are complex, often requiring a multidisciplinary team approach. We describe a case of a free bile duct leak following extended right hepatectomy and surgical hepaticojejunostomy treated with percutaneous transhepatic hepaticojejunostomy in which a radiofrequency guidewire was used to gain enteral access. A modified internal/external biliary catheter was left in place. The patient was enrolled in a benign biliary stricture protocol, and 8 months later, the catheter was removed following a normal cholangiogram and biliary manometric perfusion testing. At 3-month follow-up after catheter removal, the patient is asymptomatic with no clinical, biochemical, or radiographic evidence of biliary leak or obstruction.},
doi = {10.1007/S00270-016-1468-1},
journal = {Cardiovascular and Interventional Radiology},
number = 1,
volume = 40,
place = {United States},
year = {Sun Jan 15 00:00:00 EST 2017},
month = {Sun Jan 15 00:00:00 EST 2017}
}