Endoscopic rendez-vous reconstruction of complete biliary obstruction

B. Neu, S. Nennstiel, S. von Delius, M. Abdelhafez, M. Bajbouj, R. M. Schmid, H. Berger, H. Feussner, A. Meining

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Background and study aims Complete biliary strictures normally require surgical intervention. We describe an alternative, minimally invasive endoscopic/percutaneous rendez-vous technique for the reconstruction of complete benign biliary strictures. Patients and methods Complete biliary strictures were reconstructed in four patients using a rendez-vous percutaneous-endoscopic or percutaneous-percutaneous route guided by fluoroscopic and visual (transillumination) control. Results All four patients were treated successfully and safely with the rendez-vous technique. Complications were caused by the preliminary creation, dilatation and maturation of the percutaneous tract. Conclusion This technique may offer a good alternative to surgical bilio-enteric anastomosis in experienced hands. The long term course of the patients treated remains to be seen.

Original languageEnglish
Pages (from-to)769-772
Number of pages4
JournalDigestive and Liver Disease
Volume49
Issue number7
DOIs
StatePublished - Jul 2017
Externally publishedYes

Keywords

  • Biliary tract diseases
  • Cholestasis
  • ERCP
  • Endoscopy
  • PTBD
  • Rendez-vous

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