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Mariano Eduardo GIMENEZ

University of Buenos Aires
Buenos Aires, Аргентина
MD, PhD
820 лайков
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Percutaneous transhepatic cholangioplasty to treat biliary strictures after biliary-enteric anastomosis
This is the case of a 50-year-old female patient presenting with a bilio-enteric anastomosis stricture caused by a bile duct injury during a cholecystectomy 10 years ago. The patient presents with multiple episodes of cholangitis treated by antibiotics, causing multiple hospital admissions. Blood test assessment demonstrates high levels of alkaline phosphatase. Her magnetic resonance cholangiopancreatography showed a stricture at the level of the hepaticojejunal anastomosis as well as mild intrahepatic biliary duct dilatation. An endoscopic approach was not suitable for this patient, because of the anatomical disturbance induced by the bilio-enteric surgical reconstruction. A percutaneous balloon catheter dilatation strategy was adopted. After two previous cholangioplasty sessions, a final session is presented here. The total duration of the last procedure was less than 1 hour, and a final stricture dilatation was achieved. After 24 hours of the final procedure, the biliary catheter was removed and the patient was discharged home without any complications.
Хирургические операции
4 месяцев назад
195 просмотров
2 лайков
0 комментариев
13:34
Percutaneous transhepatic cholangioplasty to treat biliary strictures after biliary-enteric anastomosis
This is the case of a 50-year-old female patient presenting with a bilio-enteric anastomosis stricture caused by a bile duct injury during a cholecystectomy 10 years ago. The patient presents with multiple episodes of cholangitis treated by antibiotics, causing multiple hospital admissions. Blood test assessment demonstrates high levels of alkaline phosphatase. Her magnetic resonance cholangiopancreatography showed a stricture at the level of the hepaticojejunal anastomosis as well as mild intrahepatic biliary duct dilatation. An endoscopic approach was not suitable for this patient, because of the anatomical disturbance induced by the bilio-enteric surgical reconstruction. A percutaneous balloon catheter dilatation strategy was adopted. After two previous cholangioplasty sessions, a final session is presented here. The total duration of the last procedure was less than 1 hour, and a final stricture dilatation was achieved. After 24 hours of the final procedure, the biliary catheter was removed and the patient was discharged home without any complications.
Transhepatic percutaneous biliary tract drainage
Percutaneous transhepatic biliary drainage is an effective method for the primary or palliative treatment of many biliary strictures. It is a procedure which includes the cannulation of an intrahepatic biliary tree using image-guided wire and catheter manipulation, and placement of a tube or stent for external and/or internal drainage. This video shows this technique applied in a patient with a pancreatic tumor.
This is the case of an 80-year-old male patient with signs of jaundice and a diagnosis of intrahepatic and extrahepatic bile duct dilatation and pancreatic tumor.
A transhepatic percutaneous biliary tract drainage was the therapeutic strategy.
Хирургические операции
1 год назад
3564 просмотров
592 лайков
0 комментариев
20:25
Transhepatic percutaneous biliary tract drainage
Percutaneous transhepatic biliary drainage is an effective method for the primary or palliative treatment of many biliary strictures. It is a procedure which includes the cannulation of an intrahepatic biliary tree using image-guided wire and catheter manipulation, and placement of a tube or stent for external and/or internal drainage. This video shows this technique applied in a patient with a pancreatic tumor.
This is the case of an 80-year-old male patient with signs of jaundice and a diagnosis of intrahepatic and extrahepatic bile duct dilatation and pancreatic tumor.
A transhepatic percutaneous biliary tract drainage was the therapeutic strategy.