Laparoscopic Retrograde Biliary Drainage Tube Stenting Technique of Hepaticojejunostomy for Preventing Anastomotic Stenosis of a Small Hepatic Duct: A Case of Choledochal Cyst in a Small Infant

Videoscopy ◽  
2020 ◽  
Author(s):  
Seiro Machigashira ◽  
Tatsuru Kaji ◽  
Mayu Matsui ◽  
Ayaka Nagano ◽  
Masakazu Murakami ◽  
...  
Keyword(s):  
Choledochal Cyst ◽  
Biliary Drainage ◽  
Hepatic Duct ◽  
Drainage Tube ◽  
Anastomotic Stenosis ◽  
Small Infant

scholarly journals Extraluminal recanalization for postoperative biliary obstruction using transseptal needle

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Hiroki Horinouchi ◽  
Eisuke Ueshima ◽  
Keitaro Sofue ◽  
Shohei Komatsu ◽  
Takuya Okada ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Bile Duct ◽  
Biliary Obstruction ◽  
Hepatic Duct ◽  
Drainage Tube ◽  
Biliary Strictures ◽  
Hepatic Bile ◽  
Hepatic Bile Duct ◽  
Benign Biliary Strictures ◽  
The Right

Abstract Background Postoperative biliary strictures are commonly related to accidental bile duct injuries or occur at the site of biliary anastomosis. The first-line treatment for benign biliary strictures is endoscopic therapy, which is less invasive and repeatable. However, recanalization for biliary complete obstruction is technically challenging to treat. The present report describes a successful case of treatment by extraluminal recanalization for postoperative biliary obstruction using a transseptal needle. Case presentation A 66-year-old woman had undergone caudal lobectomy for the treatment of hepatocellular carcinoma. The posterior segmental branch of the bile duct was injured and repaired intraoperatively. Three months after the surgery, the patient had developed biliary leakage from the right hepatic bile duct, resulting in complete biliary obstruction. Since intraluminal recanalization with conventional endoscopic and percutaneous approaches with a guidewire failed, extraluminal recanalization using a transseptal needle with an internal lumen via percutaneous approach was performed under fluoroscopic guidance. The left lateral inferior segmental duct was punctured, and an 8-F transseptal sheath was introduced into the ostium of right hepatic duct. A transseptal needle was advanced, and the right hepatic duct was punctured by targeting an inflated balloon that was placed at the end of the obstructed right hepatic bile duct. After confirming successful puncture using contrast agent injected through the internal lumen of the needle, a 0.014-in. guidewire was advanced into the right hepatic duct. Finally, an 8.5-F internal–external biliary drainage tube was successfully placed without complications. One month after the procedure, the drainage tube was replaced with a 10.2-F drainage tube to dilate the created tract. Subsequent endoscopic internalization was performed 5 months after the procedure. At the 1-year follow-up examination, there was no sign of biliary obstruction and recurrence of hepatocellular carcinoma. Conclusions Recanalization using a transseptal needle can be an alternative technique for rigid biliary obstruction when conventional techniques fail.

WHICH TYPES OF DRAINAGE TUBE SHOULD WE SELECT FOR ENDOSCOPIC BILIARY DRAINAGE? CURRENT STATUS

2006 ◽  
Vol 18 (s1) ◽  
pp. S110-S111 ◽  
Author(s):  
Hiroyuki Isayama ◽  
Yousuke Nakai ◽  
Takeshi Tsujino ◽  
Takao Kawabe ◽  
Masao Omata
Keyword(s):  
Biliary Drainage ◽  
Drainage Tube ◽  
Current Status ◽  
Endoscopic Biliary Drainage ◽  
Drainage Current

scholarly journals Influence of distal ileum exclusion on hepatic and renal functions in presence of extrahepatic cholestasis

2014 ◽  
Vol 41 (2) ◽  
pp. 112-116
Author(s):  
Evandro Luis de Oliveira Costa ◽  
Andy Petroianu ◽  
Geraldo Magela de Azevedo Júnior
Keyword(s):  
Terminal Ileum ◽  
Biliary Drainage ◽  
Hepatic Duct ◽  
Control Group ◽  
Extrahepatic Cholestasis ◽  
Functional Changes ◽  
Duct Ligation ◽  
Liver And Kidney ◽  
Group 3 ◽  
Group 1

OBJECTIVE: To verify whether the ileal exclusion interferes with liver and kidney functional changes secondary to extrahepatic cholestasis.METHODS: We studied 24 rats, divided into three groups with eight individuals each: Group 1 (control), Group 2 (ligation of the hepatic duct combined with internal biliary drainage), and Group 3 (bile duct ligation combined with internal biliary drainage and exclusion of the terminal ileum). Animals in Group 1 (control) underwent sham laparotomy. The animals of groups 2 and 3 underwent ligation and section of the hepatic duct and were kept in cholestasis for four weeks. Next, they underwent an internal biliary bypass. In Group 3, besides the biliary-enteric bypass, we associated the exclusion of the last ten centimeters of the terminal ileum and carried out an ileocolic anastomosis. After four weeks of monitoring, blood was collected from all animals of the three groups for liver and kidney biochemical evaluation (albumin, ALT, AST, direct and indirect bilirubin, alkaline phosphatase, cGT, creatinine and urea).RESULTS: there were increased values of ALT, AST, direct bilirubin, cGT, creatinine and urea in rats from Group 3 (p < 0.05).CONCLUSION: ileal exclusion worsened liver and kidney functions in the murine model of extrahepatic cholestasis, being disadvantageous as therapeutic procedure for cholestatic disorders.

Accessory hepatic duct associated with a choledochal cyst

1997 ◽  
Vol 12 (1) ◽  
pp. 54-56 ◽  
Author(s):  
Y. -C. Duh ◽  
H. -S. Lai ◽  
W. -J. Chen
Keyword(s):  
Choledochal Cyst ◽  
Hepatic Duct ◽  
Accessory Hepatic Duct

Diagnostic dilemma in a large choledochal cyst

2019 ◽  
Vol 22 (2) ◽  
pp. 38-40
Author(s):  
Tul Maya Gurung ◽  
Rabin Koirala ◽  
Amit Shrestha
Keyword(s):  
Differential Diagnosis ◽  
Choledochal Cyst ◽  
Congenital Anomalies ◽  
Biliary Drainage ◽  
Abdominal Mass ◽  
Choledochal Cysts ◽  
Diagnostic Dilemma ◽  
Variable Presentation

Choledochal cysts are rare congenital anomalies that have a variable presentation with occasional diagnostic and therapeutic dilemmas. Our case is a 14-year female presented with recurrent abdomen pain with confusing diagnostic findings, suggestive of a large choledochal cyst (22x29x17cm) initially managed by percutaneous tube biliary drainage and later underwent excision and HPE revealing non-malignant findings. The choledochal cyst should always be a differential diagnosis for any patient presenting with an abdominal mass and should be managed accordingly.

Ductoplasty for an aberrant hepatic duct in a choledochal cyst

1997 ◽  
Vol 12 (8) ◽  
pp. 618-619
Author(s):  
T. Todani ◽  
Y. Watanabe ◽  
A. Toki ◽  
Y. Sato ◽  
K. Ogura ◽  
...  
Keyword(s):  
Choledochal Cyst ◽  
Hepatic Duct

Accessory hepatic duct associated with a choledochal cyst

1996 ◽  
Vol 12 (1) ◽  
pp. 54-56
Author(s):  
Y.-C. Duh ◽  
H.-S. Lai ◽  
W.-J. Chen
Keyword(s):  
Choledochal Cyst ◽  
Hepatic Duct ◽  
Accessory Hepatic Duct

CARING FOR A BILIARY DRAINAGE TUBE

Nursing ◽  
1993 ◽  
Vol 23 (6) ◽  
pp. 26-27
Author(s):  
&NA;
Keyword(s):  
Biliary Drainage ◽  
Drainage Tube

scholarly journals A CASE OF DUODENAL PERFORATION DUE TO DEVIATION OF AN ENDOSCOPIC NASO-BILIARY DRAINAGE TUBE

2008 ◽  
Vol 69 (10) ◽  
pp. 2537-2541 ◽  
Author(s):  
Norihiro HOKIMOTO ◽  
Kengo ICHIKAWA ◽  
Senko FUJIWARA ◽  
Shinzo OSAKI ◽  
Norihito KAMIOKA ◽  
...  
Keyword(s):  
Biliary Drainage ◽  
Drainage Tube ◽  
Duodenal Perforation
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