Su1211 COMBINED RETROGRADE/ANTEGRADE ENDOSCOPIC APPROACH TO DISCONNECTED BILE-DUCT (DBD) AS A RESULT OF SEVERE POSTOPERATIVE INJURY

DBD at ERCP is defined by lack of proximal filling under pressure cholangiography or by massive contrast extravasation with no or minimal contrast filling and dictates surgical repair. Combined percutaneous-endoscopic approaches are encouraging. We hypothesized that aggressive retrograde (ERCP) and/or antegrade (EUS) attempts at recanalization might salvage DBD for endotherapy, and subsequent serial stenting would induce remodeling and durable resolution as seen in partial strictures.