Document Detail


Modified rendezvous technique in management of biliary leak in right lobe live donor liver transplant recipients.
MedLine Citation:
PMID:  19692867     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Biliary complication is the Achilles' heel for live donor liver transplant. Bile leak is particularly difficult to manage as the anastomotic site was often angled acutely. We described a patient with bile leak managed by a modified rendezvous technique whereby the endoscopist and radiologist work simultaneously under fluoroscopy. Unlike the traditionally described rendezvous technique where the grasping of guidewire occurred at the duodenum, the grasping of guidewire occurred at the biloma in this modified technique. Insertion of biliary stent could then be performed over the guidewire through the duodenoscope. The bile leak resolved after keeping the biliary stents in situ for 12 months.
Authors:
Chun-Tao Wai; Sing-Shang Ngoi; Peter Y T Goh; Kang-Hoe Lee; Michael Lin; Kai-Chah Tan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgical laparoscopy, endoscopy & percutaneous techniques     Volume:  19     ISSN:  1534-4908     ISO Abbreviation:  Surg Laparosc Endosc Percutan Tech     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-08-20     Completed Date:  2009-11-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100888751     Medline TA:  Surg Laparosc Endosc Percutan Tech     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e143-5     Citation Subset:  IM    
Affiliation:
Asian Center for Liver Diseases and Transplantation, Gleneagles Hospital, Singapore. dr_desmond_wai@yahoo.com.sg
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MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical / adverse effects
Bile*
Bile Ducts / surgery*
Carcinoma, Hepatocellular / etiology,  surgery*
Duodenoscopy
Hepatitis B / complications
Humans
Liver
Liver Cirrhosis / etiology,  surgery
Liver Neoplasms / etiology,  surgery*
Liver Transplantation / adverse effects*
Living Donors*
Male
Middle Aged
Postoperative Complications / therapy
Stents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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