| Percutaneous transcholecystic approach to the rendezvous procedure when transhepatic access fails. | |
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MedLine Citation:
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PMID: 7873872 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: Extrahepatic biliary obstruction can be managed endoscopically or percutaneously. When endoscopic therapy fails, percutaneous drainage with or without endoscopic assistance may be performed. However, transhepatic drainage may itself be unsuccessful. In such patients, a transcholecystic approach combined with endoscopic therapy was used to achieve biliary drainage. MATERIALS AND METHODS: After attempts at transhepatic biliary drainage failed, a percutaneous cholecystostomy was performed in four patients, with subsequent cannulation of the common bile duct, endoprosthesis insertion, or papillotomy. RESULTS: The success rate was 100%, with no major complication or procedure-related mortality. Slight bleeding from a sphincterotomy was the only minor complication. CONCLUSION: When percutaneous transhepatic access to the bile duct fails, the transcholecystic route can be safely used with care to successfully achieve biliary drainage. |
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Authors:
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B Banerjee; D L Harshfield; S K Teplick |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of vascular and interventional radiology : JVIR Volume: 5 ISSN: 1051-0443 ISO Abbreviation: J Vasc Interv Radiol Publication Date: 1994 Nov-Dec |
Date Detail:
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Created Date: 1995-04-04 Completed Date: 1995-04-04 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9203369 Medline TA: J Vasc Interv Radiol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 895-8 Citation Subset: IM |
Affiliation:
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Department of Medicine, University of Arkansas for Medical Sciences, Little Rock. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Cholangiography Cholangiopancreatography, Endoscopic Retrograde Cholecystostomy* Cholestasis, Extrahepatic / radiography, therapy* Common Bile Duct Diseases / radiography, therapy Drainage / methods* Female Humans Male Punctures |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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