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- W4283463189 abstract "The patient, a 32-year-old woman, had undergone partial resection of the left lobe of the liver and extrahepatic bile duct with choledochojejunostomy for numerous intrahepatic biliary stones due to primary sclerosing cholangitis ([Fig. 1]). An afferent loop of jejunum–cutaneous fistula had also been surgically created for additional endoscopic treatment. Three months after surgery, we attempted endoscopic removal of the remaining stones using the jejunocutaneous fistula. An endoscope was inserted through the fistula to reach the biliary–jejunal fistula ([Fig. 2]). Choledochography showed multiple biliary strictures ([Fig. 3]). Several strictures were dilated with 1-mm to 8-mm balloons inflated using carbon dioxide ([Fig. 4]). When the balloon dilator was deflated and removed, fluoroscopy showed gas entering the right ventricle. No abnormal bleeding occurred from the bile duct. The endoscope was immediately removed from the jejunal–cutaneous fistula. Fluoroscopic investigation revealed no continuous leakage of gas into the ventricle ([Video 1]). Fortunately, computed tomography showed no sign of gas embolism in the various organs." @default.
- W4283463189 created "2022-06-26" @default.
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- W4283463189 date "2022-06-24" @default.
- W4283463189 modified "2023-09-25" @default.
- W4283463189 title "Direct large flow of venous gas into right atrium and ventricle during endoscopic biliary treatment" @default.
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- W4283463189 doi "https://doi.org/10.1055/a-1860-1354" @default.
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