Application of percutaneous jejunal puncture in the treatment of bile duct stones after choledochoenterostomy (Report of 18 cases)

doi:10.3877/cma.j.issn.2095-5782.2023.02.003

Abstract

Abstract:

Objective

To explore a novel technique for stone extraction of bile duct stones after choledochoenterostomy.

Methods

Using PTCD to control the biliary infection. The site of percutaneous jejunum puncture was determined by CT. The jejunum was punctured in the dilated state, and 8.5F catheter was placed and fixed. After 1 month, take out the bile duct stones with the stone basket through this sinus under fluoroscopy. After removing the bile duct stones, give 14F drainage tube to support the choledochojejunostomy for 1 year.

Results

Removal of bile duct stones were performed in 18 cases by the way of percutaneous jejunal puncture. 17 cases were removed completely by one or more fluoroscopy, and 1 case was transferred to the jejunal sinus choledochoscopy after three times of incomplete stone extraction, without obvious complications such as hemorrhage, intestinal fistula, biliary fistula and abdominal infection. During the follow-up period, no stone was found, and the biliary and intestinal anastomosis was unobstructed..

Conclusions

Percutaneous jejunal puncture for removal of bile duct stones is a feasible,safe and effective method for the treatment of bile duct stones after choledochoenterostomy.

Key words: Percutaneous jejunal puncture, Choledochojejunostomy, Bile duct stones

Zhonghai Zhao, Lidong Zhu, Ning Yang. Application of percutaneous jejunal puncture in the treatment of bile duct stones after choledochoenterostomy (Report of 18 cases)[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2023, 11(02): 113-116.

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References 10

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