ENDOSCOPIC RENDEZVOUS FOR AN ANASTOMOTIC STRICTURE AFTER HEPATOJEJUNOSTOMY

Anastomotic stenosis of the hepatojejunostomy (HJS) remain a common complication and a major cause of morbidity. (Balloon assisted)-ERCP is the golden standard to treat HJS. In 38% BE-ERCP is not successful because of the inability to reach and/or cannulate the anastomosis. An alternative is surgical treatment, which is associated with significant morbidity and mortality. Surgery can be contraindicated by ASA3 plus patients. For those patients long term trans hepatic biliary drainage might be a therapeutic option. In this case we show a trans hepatic, cholangioscopy guided reopening of a bilioenteric anastomosis stricture.