Work

Percutaneous cholangioscopy-assisted rendezvous endoscopic retrograde cholangiography technique for a difficult postliver transplant anastomotic stricture

Year: 2025

Type: article

Abstract: Background and Aims: In cases of postliver transplant biliary stricture with double-duct anastomsis, double-duct stenting is absolutely necessary to preserve graft function. Methods: We present a successful technique of percutaneous cholangioscopy-assisted rendezvous ERCP for difficult anastomotic stricture after failure of cholangioscopy-guided wire negotiation and percutaneous transhepatic biliary drainage. Results: We achieved successful completion of biliary drainage through right anterior sectoral duct and right posterior duct stenting with subsequent dilatation of the stricture. There was resolution of the anastomotic stricture on follow-up. Conclusions: Cholangioscopy-assisted rendezvous endoscopic retrograde cholangiography technique is a reasonable option for a difficult post-transplant anastomotic stricture when conventional methods fail.

Source: VideoGIE

DOI: 10.1016/j.vgie.2025.03.025

Authors: Pankaj Singh, Vikas Singla, Akash Goel, Muzaffar Rashid Shawl, Shahnawaz Bashir

Institution: Max Super Speciality Hospital

Language: English

Topic: Gallbladder and Bile Duct Disorders

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,000