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Percutaneous Placement of a Temporary Large-Bore Biliary Endoprosthesis 

Percutaneous Placement of a Temporary Large-Bore Biliary Endoprosthesis
Chapter:
Percutaneous Placement of a Temporary Large-Bore Biliary Endoprosthesis
Author(s):

Sam McCabe

, Christopher Harnain

, and Grigory Rozenblit

DOI:
10.1093/med/9780199986071.003.0084
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date: 27 January 2020

This chapter describes construction of a temporary large-bore biliary endoprosthesis from a standard pigtail drainage catheter. Management of benign common duct biliary strictures often requires multiple interventions and leaves the patient with an indwelling biliary catheter for a prolonged time course. Commercially available plastic, bare-metal, and covered metal biliary stents are not ideally suited for the management of benign strictures. The endoprosthesis is cut to length and then positioned, deployed, and tethered to the abdominal wall with an absorbable suture. After the suture dissolves in several months, the catheter is propelled into the intestine by peristalsis and expelled without the need for an additional procedure.

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