Linhao Zhang1,2, Bo Wei1, Hao Wu3, Bing Hu4. 1. Department of Gastroenterology, West China Hospital, Sichuan University, Guo Xue Lane 37#, Chengdu, 610041, Sichuan, People's Republic of China. 2. Laboratory of Gastroenterology & Hepatology, West China Hospital, Sichuan University, Guo Xue Lane 37#, Chengdu, 610041, Sichuan, People's Republic of China. 3. Department of Gastroenterology, West China Hospital, Sichuan University, Guo Xue Lane 37#, Chengdu, 610041, Sichuan, People's Republic of China. 594264513@qq.com. 4. Department of Gastroenterology, West China Hospital, Sichuan University, Guo Xue Lane 37#, Chengdu, 610041, Sichuan, People's Republic of China. hubingnj@163.com.
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.
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.
Authors: Peter Macinga; Darina Gogova; Jan Raupach; Jana Jarosova; Libor Janousek; Eva Honsova; Pavel Taimr; Julius Spicak; Jiri Novotny; Jan Peregrin; Tomas Hucl Journal: World J Hepatol Date: 2022-05-27