A CASE IN WHICH THE RENDEZVOUS TECHNIQUE WAS USED FOR BILE DUCT STONE REMOVAL IN A TOTAL GASTRECTOMY PATIENT WHO HAD UNDERGONE ROUX-EN-Y RECONSTRUCTION

DOI 21 References
  • FUTAGAWA Yasuro
    Department of Surgery, Nishisaitama Chuo Hospital
  • SAITO Akira
    Department of Gastroenterology and Hepatology, Nishisaitama Chuo Hospital
  • ANAN Tadashi
    Department of Surgery, Nishisaitama Chuo Hospital
  • MOMOSE Kunio
    Department of Gastroenterology and Hepatology, Nishisaitama Chuo Hospital
  • ODAGI Isao
    Department of Gastroenterology and Hepatology, Nishisaitama Chuo Hospital
  • NAKAGAWA Ryo
    Department of Gastroenterology and Hepatology, Nishisaitama Chuo Hospital
  • MIYAZAKI Tamihiro
    Department of Gastroenterology and Hepatology, Nishisaitama Chuo Hospital
  • SAOSHIRO Takeo
    Department of Gastroenterology and Hepatology, Nishisaitama Chuo Hospital
  • IKEUCHI Kenji
    Department of Surgery, Nishisaitama Chuo Hospital
  • YANAGA Katsuhiko
    Division of Digestive Surgery, The Jikei University School of Medicine

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Other Title
  • Rendezvous techniqueにより採石しえた胃全摘Roux-en-Y再建術後総胆管結石の1例

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Abstract

A 54-year-old male, who had undergone a total gastrectomy with Roux-en-Y reconstruction one year earlier for the treatment gastric cancer, was admitted under the diagnosis of acute calculus cholecystitis. Percutaneous transhepatic gallbladder biliary drainage (PTGBD) was performed and cholangiography via PTGBD revealed a stone had become lodged distally near the papilla in the non-dilated common bile duct. After removal with endoscopic lithotomy failed, we used the rendezvous technique which combines both interventional radiology and endoscopy to perform a successful lithotomy. The rendezvous technique is therefore considered to be a useful alternative for the treatment of choledocholithiasis in patients who have previously undergone Roux-en-Y reconstruction, in whom an endoscopic lithotomy is not possible.

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