Percutaneous cholangioscopy-assisted rendezvous endoscopic retrograde cholangiography technique for a difficult postliver transplant anastomotic stricture.

ABSTRACT:

Background and aims

In cases of postliver transplant biliary stricture with double-duct anastomsis, double-duct stenting is absolutely necessary to preserve graft function.

Methods

We present a successful technique of percutaneous cholangioscopy-assisted rendezvous ERCP for difficult anastomotic stricture after failure of cholangioscopy-guided wire negotiation and percutaneous transhepatic biliary drainage.

Results

We achieved successful completion of biliary drainage through right anterior sectoral duct and right posterior duct stenting with subsequent dilatation of the stricture. There was resolution of the anastomotic stricture on follow-up.

Conclusions

Cholangioscopy-assisted rendezvous endoscopic retrograde cholangiography technique is a reasonable option

SUBMITTER: Singh P 

PROVIDER: S-EPMC12282423 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature