Technical Description of Percutaneous Neo-hepaticojejunostomy: A Case Series
Eduardo Javier Houghton1,2,3, Miluska María Del Pilar Aliaga Ramos1,4, José De Jesús Marín López1,5
1DAICIM Foundation, Buenos Aires, Argentina.
Objective:
To present a multicentric experience using percutaneous techniques for neo-hepaticojejunostomy in complex cases with disconnected bile ducts.
Methods:
We retrospectively analyzed 4 complex cases in which percutaneous neo-hepaticojejunostomy was performed to address complications such as anastomotic stenosis and bile duct disconnection following Roux-en-Y hepaticojejunostomy (RYHJ). Patient selection, technique details, and short-term outcomes were evaluated.
Results:
All patients had successful percutaneous reconstruction without the need for surgical reintervention. No major complications were observed. Bile flow was restored, and clinical improvement was noted in all cases.
Conclusions:
Percutaneous approaches for neo-hepaticojejunostomy represent a feasible and minimally invasive alternative to traditional surgery in select cases of disconnected bile ducts. Larger prospective studies are needed to validate these findings.
