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CardioVascular and Interventional Radiology

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27.09.2016 | Case Report

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

verfasst von: Orrie N. Close, Olaguoke Akinwande, Rakesh K. Varma, Ernesto Santos, Hyun S. Kim

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 1/2017

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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.

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Titel: Percutaneous Hepaticojejunostomy Using a Radiofrequency Wire for Management of a Postoperative Bile Leak
verfasst von: Orrie N. Close
Olaguoke Akinwande
Rakesh K. Varma
Ernesto Santos
Hyun S. Kim
Publikationsdatum: 27.09.2016
Verlag: Springer US
Erschienen in: CardioVascular and Interventional Radiology / Ausgabe 1/2017
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-016-1468-1

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

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