Percutaneous Hepaticojejunostomy Using a Radiofrequency Wire for Management of a Postoperative Bile Leak

Orrie N. Close, Olaguoke Akinwande, Rakesh K. Varma, Ernesto Santos, Hyun S. Kim

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Postoperative biliary complications following extensive hepatic resections are complex, often requiring a multidisciplinary team approach. We describe a case of a free bile duct leak following extended right hepatectomy and surgical hepaticojejunostomy treated with percutaneous transhepatic hepaticojejunostomy in which a radiofrequency guidewire was used to gain enteral access. A modified internal/external biliary catheter was left in place. The patient was enrolled in a benign biliary stricture protocol, and 8 months later, the catheter was removed following a normal cholangiogram and biliary manometric perfusion testing. At 3-month follow-up after catheter removal, the patient is asymptomatic with no clinical, biochemical, or radiographic evidence of biliary leak or obstruction.

Original languageEnglish
Pages (from-to)139-143
Number of pages5
JournalCardiovascular and Interventional Radiology
Volume40
Issue number1
DOIs
StatePublished - Jan 1 2017

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