Successful Biliary Re-Cannulation and Neo-Anastomosis Creation in Complete Bile Duct Occlusion or Disruption Using a Combination of Interventional Radiology and Endoscopic Techniques: A Case Series.

ABSTRACT:

Aims

Biliary strictures are a known complication of hepatobiliary and pancreatic surgeries. This retrospective descriptive series highlights six consecutive patients with complete bile duct occlusion or disruption who required a multidisciplinary approach with a combination of interventional radiology (IR) and endoscopic techniques to either re-cannulate or create a neo-anastomosis in the biliary system.

Methods and results

The biliary system was either re-cannulated or a neo-anastomosis was created using a small gauge needle (N = 3), a rendezvous procedure (N = 1), a radiofrequency ablation wire (N = 1), and the back end of a wire (N = 1). There was one major adverse event (bacteremia requiring antibiotic therapy). Follow-up protocol included sch

SUBMITTER: Fricker JG 

PROVIDER: S-EPMC12932304 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature