Percutaneous-transhepatic creation of a bilioenteric neoanastomosis in a patient with bile duct injury using cone-beam computed tomography

Nathan Wnuk; Ana Maria Pabon-Martinez; Armeen Mahvash; Gouthami Chintalapani; Thomas A. Aloia; Bruno Calazans Odisio

doi:10.18528/ijgii180037

Percutaneous-transhepatic creation of a bilioenteric neoanastomosis in a patient with bile duct injury using cone-beam computed tomography

Nathan Wnuk, Ana Maria Pabon-Martinez, Armeen Mahvash, Gouthami Chintalapani, Thomas A. Aloia, Bruno Calazans Odisio

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

We describe the creation of a percutaneous transhepatic bilioenteric neoanastomosis with the aid of cone-beam computed tomography (CBCT) in a patient suffering from a complicated bile leak after extensive hepatobiliary surgery. Access to the afferent bowel limb was safely performed in a single-stick manner via transhepatic approach with the aid of real-time navigation fluoroscopic imaging generated by CBCT arteriography. CBCT confirmed access of the afferent limb and absence of peri-anastomotic vessel damage, allowing the successful creation of a bilioenteric neoanastomosis, resolving the patient’s biliary leak. The patient is alive and asymptomatic at 12-month follow-up, demonstrating patency of the percutaneous bilioenteric neoanastomosis.

Original language	English (US)
Pages (from-to)	41-44
Number of pages	4
Journal	International Journal of Gastrointestinal Intervention
Volume	8
Issue number	1
DOIs	https://doi.org/10.18528/ijgii180037
State	Published - Jan 2019

Keywords

Biliary intervention
Bilioenteric neoanastomosis
Cone-beam computed tomography
Fusion imaging
Percutaneous intervention

ASJC Scopus subject areas

Gastroenterology
Hepatology
Oncology
Radiology Nuclear Medicine and imaging

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10.18528/ijgii180037

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title = "Percutaneous-transhepatic creation of a bilioenteric neoanastomosis in a patient with bile duct injury using cone-beam computed tomography",

abstract = "We describe the creation of a percutaneous transhepatic bilioenteric neoanastomosis with the aid of cone-beam computed tomography (CBCT) in a patient suffering from a complicated bile leak after extensive hepatobiliary surgery. Access to the afferent bowel limb was safely performed in a single-stick manner via transhepatic approach with the aid of real-time navigation fluoroscopic imaging generated by CBCT arteriography. CBCT confirmed access of the afferent limb and absence of peri-anastomotic vessel damage, allowing the successful creation of a bilioenteric neoanastomosis, resolving the patient{\textquoteright}s biliary leak. The patient is alive and asymptomatic at 12-month follow-up, demonstrating patency of the percutaneous bilioenteric neoanastomosis.",

keywords = "Biliary intervention, Bilioenteric neoanastomosis, Cone-beam computed tomography, Fusion imaging, Percutaneous intervention",

author = "Nathan Wnuk and Pabon-Martinez, {Ana Maria} and Armeen Mahvash and Gouthami Chintalapani and Aloia, {Thomas A.} and Odisio, {Bruno Calazans}",

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AU - Wnuk, Nathan

AU - Pabon-Martinez, Ana Maria

AU - Mahvash, Armeen

AU - Chintalapani, Gouthami

AU - Aloia, Thomas A.

AU - Odisio, Bruno Calazans

PY - 2019/1

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N2 - We describe the creation of a percutaneous transhepatic bilioenteric neoanastomosis with the aid of cone-beam computed tomography (CBCT) in a patient suffering from a complicated bile leak after extensive hepatobiliary surgery. Access to the afferent bowel limb was safely performed in a single-stick manner via transhepatic approach with the aid of real-time navigation fluoroscopic imaging generated by CBCT arteriography. CBCT confirmed access of the afferent limb and absence of peri-anastomotic vessel damage, allowing the successful creation of a bilioenteric neoanastomosis, resolving the patient’s biliary leak. The patient is alive and asymptomatic at 12-month follow-up, demonstrating patency of the percutaneous bilioenteric neoanastomosis.

AB - We describe the creation of a percutaneous transhepatic bilioenteric neoanastomosis with the aid of cone-beam computed tomography (CBCT) in a patient suffering from a complicated bile leak after extensive hepatobiliary surgery. Access to the afferent bowel limb was safely performed in a single-stick manner via transhepatic approach with the aid of real-time navigation fluoroscopic imaging generated by CBCT arteriography. CBCT confirmed access of the afferent limb and absence of peri-anastomotic vessel damage, allowing the successful creation of a bilioenteric neoanastomosis, resolving the patient’s biliary leak. The patient is alive and asymptomatic at 12-month follow-up, demonstrating patency of the percutaneous bilioenteric neoanastomosis.

KW - Biliary intervention

KW - Bilioenteric neoanastomosis

KW - Cone-beam computed tomography

KW - Fusion imaging

KW - Percutaneous intervention

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Percutaneous-transhepatic creation of a bilioenteric neoanastomosis in a patient with bile duct injury using cone-beam computed tomography

Abstract

Keywords

ASJC Scopus subject areas

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