Percutaneous Transhepatic Dilatation of the Hepaticoenterostomy Using the Gruntzig Balloon Catheter : A Case Report

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  • Oguchi Yoshiro
    Department of Pediatric Surgery, Osaka University Medical School:First Department of Surgery, Osaka University Medical School
  • Okada Akira
    Department of Pediatric Surgery, Osaka University Medical School:First Department of Surgery, Osaka University Medical School
  • Hasegawa Toshimichi
    Department of Pediatric Surgery, Osaka University Medical School:First Department of Surgery, Osaka University Medical School
  • Ikeda Yoshikazu
    Department of Pediatric Surgery, Osaka University Medical School:First Department of Surgery, Osaka University Medical School
  • Nakao Kazuyasu
    Department of Pediatric Surgery, Osaka University Medical School:First Department of Surgery, Osaka University Medical School
  • Kawashima Yasunaru
    Department of Pediatric Surgery, Osaka University Medical School:First Department of Surgery, Osaka University Medical School
  • Kuroda Chikazumi
    Radiology Osaka University Medical School
  • Morimoto Koji
    Radiology Osaka University Medical School

Bibliographic Information

Other Title
  • 胆道再建術後吻合部狭窄に対するGruntzig Ballon Catheter による経皮経肝的拡張術
  • 胆道再建術後吻合部狭窄に対するGruntzig Balloon Catheterによる経皮経肝的拡張術
  • タンドウ サイケン ジュツゴ フンゴウブ キョウサク ニ タイスル Grunt

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Description

Percutaneous transhepatic nonoperative dilatation of the biliary stricture was accomplished in a 17 year-old female. She undewent a choledochoduodenostomy at the age of 2 years. At age 16 years, a hepaticoduodenostomy with a jejunal interposition was carried out resecting the common duct. She developed fever, jaundice, disorders in liver function and leukocytosis since 3 months after the second operation. Percutaneous transhepatic cholangiography was carried out at 1 year and 3 months after the operation. There was a severe stomal stricture. Nonoperative dilatation using a Gruntzig balloon catheter was successfully performed to dilate the stoma to 5 mm in diameter. Subsequent clinical course and result of laboratory tests have been satisfactory for 8 months after dilatation.

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