A case of biliary stones and anastomotic biliary stricture after liver transplant treated with the rendez-vous technique and electrokinetic lithotritor

The paper studies the combined radiologic and endoscopic approach (rendez-vous technique) to the treatment of the biliary complications following liver transplant. The "rendez-vous" technique was used with an electrokinetic lithotripter, in the treatment of a biliary anastomotic stricture...

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Bibliographic Details
Published in:World journal of gastroenterology : WJG 2008-05, Vol.14 (18), p.2920-2923
Main Authors: Di Pisa, Marta, Traina, Mario, Miraglia, Roberto, Maruzzelli, Luigi, Volpes, Riccardo, Piazza, Salvatore, Luca, Angelo, Gridelli, Bruno
Format: Article
Language:English
Subjects:
Aged
Case Report
Cholecystectomy, Laparoscopic
Cholestasis - diagnosis
Cholestasis - etiology
Cholestasis - therapy
Endoscopy, Gastrointestinal
Gallstones - diagnosis
Gallstones - etiology
Gallstones - therapy
Humans
Lithotripsy
Liver Transplantation - adverse effects
Male
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Summary:The paper studies the combined radiologic and endoscopic approach (rendez-vous technique) to the treatment of the biliary complications following liver transplant. The "rendez-vous" technique was used with an electrokinetic lithotripter, in the treatment of a biliary anastomotic stricture with multiple biliary stones in a patient who underwent orthotopic liver transplant. In this patient, endoscopic or percutaneous transhepatic management of the biliary complication failed. The combined approach, percutaneous transhepatic and endoscopic treatment (rendez-vous technique) with the use of an electrokinetic lithotritor, was used to solve the biliary stenosis and to remove the stones. Technical success, defined as disappearance of the biliary stenosis and stone removal, was obtained in just one session, which definitively solved the complications. The combined approach of percutaneous transhepatic and endoscopic (rendez-vous technique) treatment, in association with an electrokinetic lithotritor, is a safe and feasible alternative treatment, especially after the failure of endoscopic and/or percutaneous trans-hepatic isolated procedures.
ISSN:1007-9327
DOI:10.3748/wjg.14.2920