Ultrasound guidance in accessing the afferent limb of a modified Roux-en-Y choledochojejunostomy for percutaneous dilation of biliary strictures

Turgut Berkmen, Ana Echenique, Edward Russell

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Percutaneous retrograde biliary dilation via the afferent limb of a modified Roux-en-Y choledochojejunostomy is used in the management of chronic biliary strictures. Access to the afferent loop may be challenging in the absence of surgically placed radiopaque markers. Ultrasound (US) guidance was used to access the loop in 10 patients with subcutaneous afferent loops and three patients with subfascial afferent loops. Successful puncture was made in all 10 patients with subcutaneous loops and in one patient with a subfascial loop. Initial fluoroscopically guided attempts failed in five loops, which were then successfully accessed with use of US guidance. US is useful in accessing subcutaneous afferent loops.

Original languageEnglish (US)
Pages (from-to)1219-1222
Number of pages4
JournalJournal of Vascular and Interventional Radiology
Volume12
Issue number10
DOIs
StatePublished - Jan 1 2001

Keywords

  • Bile ducts, stenosis or obstruction
  • Jejunostomy
  • Ultrasound (US), guidance

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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