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. 2022 Dec 16;8(3):107-109.
doi: 10.1016/j.vgie.2022.11.005. eCollection 2023 Mar.

A new connection: management of disconnected segments 5 and 6 bile leak via the cystic duct remnant

Andrew Canakis  1 , Adnan A Alseidi  2 , Shayan S Irani  3
Affiliations

A new connection: management of disconnected segments 5 and 6 bile leak via the cystic duct remnant

Andrew Canakis et al. VideoGIE. .

Abstract

Video 1Management of disconnected segments 5 and 6 bile leaks.

Keywords: FCSEMS, fully covered self-expandable metal stent; IR, interventional radiology.

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Figures

Figure 1
Figure 1
CT scan of abdomen showing the biloma.
Figure 2
Figure 2
Interventional radiology–guided tube placement for biloma.
Figure 3
Figure 3
Tube check showing disconnected segments 5 and 6.
Figure 4
Figure 4
ERCP rendezvous allowing the placement of the percutaneous drain through the cyst duct into the duodenum.
Figure 5
Figure 5
ERCP before (A) and after (B) placement of a biliary fully covered self-expandable metal stent.
Figure 6
Figure 6
Cholangioscopy confirming epithelization of the tract.
See this image and copyright information in PMC

References

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    1. Rio-Tinto R., Canena J. Endoscopic treatment of post-cholecystectomy biliary leaks. GE Port J Gastroenterol. 2021;28:265–273. - PMC - PubMed
    1. Winslow E.R., Fialkowski E.A., Linehan D.C., et al. “Sideways”: results of repair of biliary injuries using a policy of side-to-side hepatico-jejunostomy. Ann Surg. 2009;249:426–434. - PubMed

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