Rendezvous Technique Using Double Balloon Endoscope for Removal of Multiple Intrahepatic Bile Duct Stones in Hepaticojejunostomy After Living Donor Liver Transplant: A Case Report

K. Kimura, K. Kudo, T. Kurihara, S. Yoshiya, Y. Mano, K. Takeishi, S. Itoh, N. Harada, T. Ikegami, T. Yoshizumi, T. Ikeda

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Abstract

Cholangitis is a major complication following transplantation. We report a living donor liver transplant (LDLT) patient with cholangitis due to multiple stones in the intrahepatic bile duct during hepaticojejunostomy anastomosis, who was successfully treated with the rendezvous technique using double balloon endoscope. A 64-year-old woman underwent LDLT with right lobe graft and hepaticojejunostomy for Wilson disease. There was bile leakage with biliary peritonitis, which was treated conservatively after transplant. Two years after surgery, she developed reiterated cholangitis due to stenosis of hepaticojejunostomy anastomosis and multiple stones in the intrahepatic bile ducts. Percutaneous transhepatic biliary drainage was performed. The size of the drainage tube was increased, and the anastomotic area was dilated in a stepwise manner using a balloon catheter. The stones were crushed and lithotomy was performed using electronic hydraulic lithotripsy through cholangioscopy. Finally, lithotomy was performed for the remaining stones through endoscopic retrograde cholangiography with the rendezvous technique using the double balloon endoscope. Rendezvous approach with percutaneous transhepatic biliary drainage and double balloon endoscopic retrograde cholangiography was an effective treatment for the multiple intrahepatic stones in hepaticojejunostomy following LDLT with right lobe graft.

Original languageEnglish
Pages (from-to)579-584
Number of pages6
JournalTransplantation Proceedings
Volume51
Issue number2
DOIs
Publication statusPublished - Mar 2019

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Intrahepatic Bile Ducts
Endoscopes
Living Donors
Transplants
Cholangitis
Liver
Drainage
Cholangiography
Hepatolenticular Degeneration
Lithotripsy
Peritonitis
Bile
Pathologic Constriction
Catheters
Transplantation

All Science Journal Classification (ASJC) codes

  • Surgery
  • Transplantation

Cite this

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title = "Rendezvous Technique Using Double Balloon Endoscope for Removal of Multiple Intrahepatic Bile Duct Stones in Hepaticojejunostomy After Living Donor Liver Transplant: A Case Report",
abstract = "Cholangitis is a major complication following transplantation. We report a living donor liver transplant (LDLT) patient with cholangitis due to multiple stones in the intrahepatic bile duct during hepaticojejunostomy anastomosis, who was successfully treated with the rendezvous technique using double balloon endoscope. A 64-year-old woman underwent LDLT with right lobe graft and hepaticojejunostomy for Wilson disease. There was bile leakage with biliary peritonitis, which was treated conservatively after transplant. Two years after surgery, she developed reiterated cholangitis due to stenosis of hepaticojejunostomy anastomosis and multiple stones in the intrahepatic bile ducts. Percutaneous transhepatic biliary drainage was performed. The size of the drainage tube was increased, and the anastomotic area was dilated in a stepwise manner using a balloon catheter. The stones were crushed and lithotomy was performed using electronic hydraulic lithotripsy through cholangioscopy. Finally, lithotomy was performed for the remaining stones through endoscopic retrograde cholangiography with the rendezvous technique using the double balloon endoscope. Rendezvous approach with percutaneous transhepatic biliary drainage and double balloon endoscopic retrograde cholangiography was an effective treatment for the multiple intrahepatic stones in hepaticojejunostomy following LDLT with right lobe graft.",
author = "K. Kimura and K. Kudo and T. Kurihara and S. Yoshiya and Y. Mano and K. Takeishi and S. Itoh and N. Harada and T. Ikegami and T. Yoshizumi and T. Ikeda",
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T1 - Rendezvous Technique Using Double Balloon Endoscope for Removal of Multiple Intrahepatic Bile Duct Stones in Hepaticojejunostomy After Living Donor Liver Transplant

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AU - Kimura, K.

AU - Kudo, K.

AU - Kurihara, T.

AU - Yoshiya, S.

AU - Mano, Y.

AU - Takeishi, K.

AU - Itoh, S.

AU - Harada, N.

AU - Ikegami, T.

AU - Yoshizumi, T.

AU - Ikeda, T.

PY - 2019/3

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