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Related Experiment Videos

Percutaneous transjejunal biliary intervention: 10-year experience with access via Roux-en-Y loops

S J McPherson1, R N Gibson, N A Collier

  • 1Department of Radiology, University of Melbourne, Royal Melbourne Hospital, Parkville, Victoria, Australia.

Radiology
|March 12, 1998
PubMed
Summary

Percutaneous retrograde transjejunal biliary intervention is a safe and effective method for managing benign and malignant biliary diseases, allowing repeated procedures with low complication rates. Routine fixation of Roux-en-Y loops is recommended for optimal access.

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Area of Science:

  • Gastroenterology
  • Interventional Radiology
  • Biliary Tract Interventions

Background:

  • Biliary interventions are crucial for managing complex biliary diseases.
  • Percutaneous retrograde transjejunal approaches offer an alternative access route.

Purpose of the Study:

  • To evaluate the safety and efficacy of percutaneous retrograde transjejunal cholangiography and biliary intervention.
  • To assess outcomes in patients with both benign and malignant biliary conditions.

Main Methods:

  • Retrospective review of 43 patients undergoing percutaneous retrograde transjejunal biliary intervention over 10 years.
  • Analysis of 196 attempted procedures, including interventions like stricture dilation, stone extraction, and stent insertion.

Main Results:

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  • Successful access was achieved in 95.9% of procedures, with a 4.1% complication rate.
  • Patients with benign disease underwent a mean of 3.1 interventions, while malignant disease patients had 3.6 interventions.
  • No deaths or episodes of biliary sepsis were reported.

Conclusions:

  • Percutaneous transjejunal biliary access provides a safe and effective means for repeated, long-term interventions.
  • Superficial fixation of Roux-en-Y loops is recommended to facilitate this approach for future biliary interventions.