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

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.