Ultrasound-guided percutaneous transjejunal creation of neoanastomosis for the treatment of bilioenteric anastomotic occlusion

Mamadou L. Sanogo, MD; Jared Christensen, MD; Sahira Kazanjian, MD; Baljendra Kapoor, MD; Joseph Gemmete, MD; Catalina Bautista, MD; Hassan Anbari, MBChB

Radiology Case Reports (Jan 2025)

Ultrasound-guided percutaneous transjejunal creation of neoanastomosis for the treatment of bilioenteric anastomotic occlusion

Mamadou L. Sanogo, MD,
Jared Christensen, MD,
Sahira Kazanjian, MD,
Baljendra Kapoor, MD,
Joseph Gemmete, MD,
Catalina Bautista, MD,
Hassan Anbari, MBChB

Affiliations

Mamadou L. Sanogo, MD: Corresponding author.; Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health Systems, Ann Arbor, MI 48109 USA
Jared Christensen, MD: Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health Systems, Ann Arbor, MI 48109 USA
Sahira Kazanjian, MD: Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health Systems, Ann Arbor, MI 48109 USA
Baljendra Kapoor, MD: Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health Systems, Ann Arbor, MI 48109 USA
Joseph Gemmete, MD: Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health Systems, Ann Arbor, MI 48109 USA
Catalina Bautista, MD: Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health Systems, Ann Arbor, MI 48109 USA
Hassan Anbari, MBChB: Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health Systems, Ann Arbor, MI 48109 USA

Journal volume & issue: Vol. 20, no. 1
pp. 696 – 699

Abstract

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A stricture of the bilioenteric anastomosis is a known complication of pancreaticoduodenectomy surgery and pediatric liver transplant. Occasionally, a complete biliary occlusion is encountered that cannot be treated utilizing endoscopic or conventional interventional radiology blunt recanalization techniques. In this article, we report 2 cases of successful sharp percutaneous ultrasound-guided retrograde creation of bilioenteric neoanastomosis in the setting of a complete biliary occlusion following Whipple surgery and liver transplant respectively. Percutaneous creation of bilioenteric neoanastomosis is a feasible minimally invasive therapeutic option alternative to surgical revision or when endoscopy is infeasible.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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