Well that's our third case in the past two weeks! Thankfully, this was a more or less straightforward affair. Contrast injection showed cutoff at the site of biliary anastomosis (A: green arrow). We maneuvered across it and dye injection showed dilated intrahepatic channels (B). A plastic stent of 12 French diameter and 12cm length was placed (C). The last image is a pre-procedure MRCP film, showing the site of stricture (green arrow)
I am a gastroenterologist. This is a blog of the ERCPs and related endoscopic procedures carried out at my department. Dr Adnan Salim.
Tuesday, September 10, 2013
Post liver transplant anastomotic biliary stricture
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Second (actually 3rd) ERCP for post transplant biliary leak
This 60 year old gentleman had earlier undergone ERCP and stenting for an anastomotic biliary leakage a few months earlier http://ercp365.bl...
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This patient was a 20 year old gentleman who had suffered blunt abdominal trauma during motorcycle accident. He developed a pancreatic absce...
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This 60 year old gentleman had earlier undergone ERCP and stenting for an anastomotic biliary leakage a few months earlier http://ercp365.bl...
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This 70 year old gentleman had previously undergone placement of a metallic biliary stent last year for an ampullary tumor. He was subseque...
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