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Percutaneous Hepaticojejunostomy Using a Radiofrequency Wire for Management of a Postoperative Bile Leak

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Abstract

Postoperative biliary complications following extensive hepatic resections are complex, often requiring a multidisciplinary team approach. We describe a case of a free bile duct leak following extended right hepatectomy and surgical hepaticojejunostomy treated with percutaneous transhepatic hepaticojejunostomy in which a radiofrequency guidewire was used to gain enteral access. A modified internal/external biliary catheter was left in place. The patient was enrolled in a benign biliary stricture protocol, and 8 months later, the catheter was removed following a normal cholangiogram and biliary manometric perfusion testing. At 3-month follow-up after catheter removal, the patient is asymptomatic with no clinical, biochemical, or radiographic evidence of biliary leak or obstruction.

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Authors and Affiliations

  1. Interventional Radiology, Department of Radiology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA

    Orrie N. Close, Rakesh K. Varma, Ernesto Santos & Hyun S. Kim

  2. Division of Interventional Radiology, Johns Hopkins University, Baltimore, MD, USA

    Olaguoke Akinwande

  3. Interventional Radiology, Department of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, CT, USA

    Hyun S. Kim

  4. Yale Cancer Center, 330 Cedar Street, TE 2-224, New Haven, CT, 06510, USA

    Hyun S. Kim

Authors
  1. Orrie N. Close
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  2. Olaguoke Akinwande
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  3. Rakesh K. Varma
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  4. Ernesto Santos
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  5. Hyun S. Kim
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Corresponding author

Correspondence to Hyun S. Kim.

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All authors have no financial or other disclosures or relationship with any commercial organization that may have a direct or indirect interest in this manuscript.

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Close, O.N., Akinwande, O., Varma, R.K. et al. Percutaneous Hepaticojejunostomy Using a Radiofrequency Wire for Management of a Postoperative Bile Leak. Cardiovasc Intervent Radiol 40, 139–143 (2017). https://doi.org/10.1007/s00270-016-1468-1

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  • DOI: https://doi.org/10.1007/s00270-016-1468-1

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