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proLékaře.cz / Journals / Perspectives in Surgery / 2020 - 8

EUS-guided jejunoduodenostomy: another option for the management of stenosis in hepaticojejunoanastomosis

Czech version

Authors: M. Stodola 1;  K. Mareš 1;  I. Pagáč 1;  R. Pádr 2
Authors‘ workplace: Gastroenterologické oddělení, Nemocnice Na Homolce, Praha 1;  Klinika zobrazovacích metod 2. lékařská fakulta Univerzity Karlovy a Fakultní nemocnice Motol, Praha 2
Published in: Rozhl. Chir., 2020, roč. 99, č. 8, s. 364-367.
Category: Case Report
doi: https://doi.org/10.33699/PIS.2020.99.8.364–367

Overview

Our case report describes a patient with recurrent stenoses in both the right and left hepaticojejunoanastomoses due to an injury to the bile ducts during cholecystectomy several years ago. The anastomoses could not be reached endoscopically.  EUS-guided hepaticogastrostomy would be a solution only for the left hepatic duct anastomosis. As the patient refused percutaneous transhepatic drainage (PTD) of both intrahepatic ducts and dilation of both anastomoses, endoscopic ultrasound-guided jejunoduodenostomy was performed using a lumen apposing metal stent (LAMS). This method provides repeated endoscopic access to the anastomoses of both hepatic ducts, allowing for their treatment.

Keywords:

cholecystectomy − bile duct injury − stenosis in hepaticojejunoanastomosis − lumen apposing metal stent − endoscopic ultrasound-guided jejunoduodenostomy

Sources
  1. Parmeggiani D, Cimmino G, Cerbone D, et al. Biliary tract injuries during laparoscopic cholecystectomy: three case reports and literature review. Giornale di chirurgia 2010;1–2 : 16-9.
  2. Halbert C, Altieri MS, Yang J, et al. Long-term outcomes of patients with common bile duct injury following laparoscopic cholecystectomy. Surg Endosc. 2016;10 : 4294–9. doi:10.1007/s00464-016-4745-9.
  3. Redwan AA. Complex post-cholecystectomy biliary injuries: management with 10 years‘ experience in a major referral center. J Laparoendosc Adv Surg Tech A. 2012;6 : 539–49. doi:10.1089/lap.2011.0520.
  4. Pitt HA, Sherman S, Johnson MS, et al. Improved outcomes of bile duct injuries in the 21stcentury. Ann Surg. 2013;3 : 490–9. doi:10.1097/SLA.0b013e3182a1b25b.
  5. Hamad MA, El-Amin H. Bilio-entero-gastrostomy: prospective assessment of a modified biliary reconstruction with facilitated future endoscopic access. BMC Surg. 2012;12 : 9. doi:10.1186/1471-2482-12-9.
  6. Sikora SS, Pottakkat B, Srikanth G, et al. Postcholecystectomy benign biliary strictures –⁠ long-term results. Dig Surg. 2006;5–6 : 304−312. doi:10.1159/ 000097894.
  7. Azeemuddin M, Al Qamari NT, Chaudhry MBH, et al. Percutaneous management of biliary enteric anastomotic strictures: An institutional review. Cureus 2018;2:e2228. doi:10.7759/cureus.2228.
  8. Huszár O, Kokas B, Mátrai P, et al. Meta-analysis of the long term success rate of different interventions in benign biliary strictures. PLoS One 2017;1:e0169618. doi:10.1371/journal.pone.0169618.
  9. Hintze RE, Adler A, Veltzke W, et al. Endoscopic access to the papilla of Vater for endoscopic retrograde cholangiopancreatography in patients with billroth II or Roux-en-Y gastrojejunostomy. Endoscopy 1997;2 : 69–73. doi:10.1055/s-2007-1004077.
  10. Elton E, Hanson BL, Qaseem T, et al. Diagnostic and therapeutic ERCP using an enteroscope and a pediatric colonoscope in long-limb surgical bypass patients. Gastrointest Endosc. 1998;1 : 62–7. doi:10.1016/s0016-5107(98)70300-1.
  11. Lennon AM, Kapoor S, Khashab M, et al. Spiral assisted ERCP is equivalent to single balloon assisted ERCP in patients with Roux-en-Y anatomy. Dig Dis Sci. 2012;5 : 1391–8. doi:10.1007/s10620-011-2000-8.
  12. Raithel M, Naegel A, Dormann H, et al. Modern enteroscopic interventions and characterization of nonmalignant postsurgical biliary anastomosis by double-balloon endoscopy. Surg Endosc. 2011;8 : 2526–2535. doi:10.1007/s00464-011-1581-9.
  13. Shao XD, Qi XS, Guo XZ. Endoscopic retrograde cholangiopancreatography with double balloon enteroscope in patients with altered gastrointestinal anatomy: A meta-analysis. Saudi J Gastroenterol. 2017;3 : 150–160. doi:10.4103/1319-3767.207713.
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Perspectives in Surgery

Issue 8
2020 Issue 8
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