Abstract
We describe a technique to bypass a malignant biliary obstruction by creating a direct connection between the left biliary tree and the stomach. First, adherence between the left liver parenchyma and the stomach is achieved by a Cope anchor system. Then, the left biliary tree and stomach are connected by Colapinto needle puncture of the stomach from a left biliary duct with the needle inserted through a 9 Fr transhepatic sheath. Over a stiff guidewire, a Ring drainage catheter is placed. Later, the Ring catheter is replaced by a metallic stent. Four patients with malignant biliary obstruction underwent this procedure. The mean survival time was 77 days with maximum follow-up of 171 days. Neither obstruction nor dislocation of the metallic stents occurred.
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Tipaldi, L. A simplified percutaneous hepatogastric drainage technique for malignant biliary obstruction. Cardiovasc Intervent Radiol 18, 333–336 (1995). https://doi.org/10.1007/BF00203688
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DOI: https://doi.org/10.1007/BF00203688