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How to perform transcystic stenting in the COVID ‐19 pandemic: an approach to biliary stenting without specialized endobiliary stenting equipment
Author(s) -
Joseph Maria,
Gaszynski Rafael,
Bender Kyle,
Daly Daniel,
Merrett Neil,
Apostolou Christos
Publication year - 2021
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/ans.16727
Subject(s) - medicine , endoscopic retrograde cholangiopancreatography , stent , common bile duct , cystic duct , biliary stent , covid-19 , general surgery , cholecystectomy , biliary drainage , surgery , radiology , pancreatitis , infectious disease (medical specialty) , disease
Management options for common bile duct stones found at laparoscopic cholecystectomy (LC) includes concurrent transcystic biliary stenting, effectively providing a conduit for common bile duct drainage and improving the success of subsequent endoscopic retrograde cholangiopancreatography. In the unprecedented COVID‐19 pandemic however, potential disruptions to the medical supply chain have been far reaching, including the distribution of specialised biliary stent sets. To overcome this, we devised an innovative method at our centre to substitute traditional procedural stent sets by employing standard, universally accessible open‐ended ureteral catheters, jagwires and pancreatic or biliary stents with similar procedural success.