Top

Published in:

01-01-2021 | Liver Transplantation | Dynamic Manuscript

Intractable biliary obstruction after TIPS creation treated by magnet-assisted endoscopic biliary-duodenal anastomosis

Published in: Surgical Endoscopy | Issue 1/2021

Abstract

Background

Though biliary obstruction is a common clinical situation, it is rarely caused by transjugular intrahepatic portosystemic shunt (TIPS) placement. When TIPS-induced intractable biliary obstruction happens, liver transplantation seems to be the only resort to cure this condition.

Methods

Herein, we describe a patient who suffered from intractable biliary obstruction following TIPS placement.

Results

The patient was finally cured by magnet-assisted endoscopic biliary-duodenal anastomosis, without further requirement of liver transplantation. After more than 6 months of follow-up, this patient recovered well, and recurrence of biliary obstruction was not observed.

Conclusion

We showed that magnet-assisted endoscopic biliary-duodenal anastomosis is a safe method, which is easy to perform and worthy of popularizing.

Available only for authorised users

Li Y, Zhou Y, Gu W, Nie Y (2017) Obstructive jaundice caused by heterotopic pancreas. Am J Gastroenterol 112:1777CrossRef

Ikeuchi N, Itoi T, Tonozuka R, Mukai S, Koyama Y, Tsuchiya T, Matsumoto T, Mizuno Y, Nakamura I, Hino A, Moriyasu F (2016) Strongyloides stercoralis Infection Causing Obstructive Jaundice and Refractory Pancreatitis: A Lesson Learned from a Case Study. Intern Med 55:2081–2086CrossRef

Zhang LH, Tai Y, Tong H, Lei XJ, Tang CW (2018) Hepatobiliary and pancreatic: rare cause of obstructive jaundice by Trichosporon asahii. J Gastroenterol Hepatol 33:338CrossRef

Korrapati P, Bidari K, Komanduri S (2015) Biliary obstruction after transjugular intrahepatic portosystemic shunt placement in a patient with Budd-Chiari syndrome. ACG Case Rep J 2:101–103CrossRef

Meng J, Yang S, Ding W, He C, Wu X (2016) Biliary obstruction following transjugular intrahepatic portosystemic shunt creation in patients with variceal bleeding. J Vasc Interv Radiol 27:558–561CrossRef

Duller D, Kniepeiss D, Lackner C, Portugaller RH, Jakoby E, Schaffellner S, Stiegler P, Kahn J, Mueller H, Roller R, Tscheliessnigg KH, Iberer F (2009) Biliary obstruction as a complication of transjugular intrahepatic portosystemic shunt. Liver Transpl 15:556–557CrossRef

Paterno F, Khan A, Cavaness K, Asolati M, Campsen J, McKenna GJ, Onaca N, Ruiz R, Trotter J, Klintmalm GB (2011) Malpositioned transjugular intrahepatic portosystemic shunt in the common hepatic duct leading to biliary obstruction and liver transplantation. Liver Transpl 17:344–346CrossRef

Peynircioglu B, Cho KJ, Cwikiel W (2007) Portal hypertension and obstructive jaundice after hepatic interventions: report of two unusual complications. J Vasc Interv Radiol 18:567–571CrossRef

Karlas T, Hoffmeister A, Fuchs J, Troltzsch M, Keim V (2013) Bile duct obstruction after transjugular intrahepatic portosystemic shunt implantation. Endoscopy 45(2):E47–E48PubMed

10.

Hyun D, Park KB, Lim SJ, Hwang JH, Sinn DH (2016) Portal vein stenting for portal biliopathy with jaundice. Cardiovasc Intervent Radiol 39:620–623CrossRef

11.

Kubo M, Wada H, Eguchi H, Gotoh K, Iwagami Y, Yamada D, Akita H, Asaoka T, Noda T, Kobayashi S, Nakamura M, Ono Y, Osuga K, Yamanouchi E, Doki Y, Mori M (2018) Magnetic compression anastomosis for the complete dehiscence of hepaticojejunostomy in a patient after living-donor liver transplantation. Surg Case Rep 4:95CrossRef

12.

Saito R, Tahara H, Shimizu S, Ohira M, Ide K, Ishiyama K, Kobayashi T, Ohdan H (2017) Biliary-duodenal anastomosis using magnetic compression following massive resection of small intestine due to strangulated ileus after living donor liver transplantation: a case report. Surg Case Rep 3:73CrossRef

13.

Muraoka N, Uematsu H, Yamanouchi E, Kinoshita K, Takeda T, Ihara N, Matsunami H, Itoh H (2005) Yamanouchi magnetic compression anastomosis for bilioenteric anastomotic stricture after living-donor liver transplantation. J Vasc Interv Radiol 16:1263–1267CrossRef

Title: Intractable biliary obstruction after TIPS creation treated by magnet-assisted endoscopic biliary-duodenal anastomosis
Publication date: 01-01-2021
Keywords: Liver Transplantation
Endoscopy
Liver Transplantation
Liver Transplantation
Liver Transplantation
Liver Transplantation
Published in: Surgical Endoscopy / Issue 1/2021
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-020-07963-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Intractable biliary obstruction after TIPS creation treated by magnet-assisted endoscopic biliary-duodenal anastomosis

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2021

Correction to: Outcomes of endoscopic treatment for malignant biliary obstruction in patients with surgically altered anatomy: analysis of risk factors for clinical failure

Transductal versus transcystic laparoscopic common bile duct exploration: an institutional review of over four hundred cases

Totally laparoscopic anatomic S7 segmentectomy using in situ split along the right intersectoral and intersegmental planes

A prospective randomized controlled trial comparing simethicone, N-acetylcysteine, sodium bicarbonate and peppermint for visualization in upper gastrointestinal endoscopy

Risk factors for gastroesophageal reflux after POEM for achalasia: a systematic review and meta-analysis

Novel transluminal treatment protocol for hepaticojejunostomy stricture using covered self-expandable metal stent