Journal of Gastrointestinal Disorders and Liver functionJournal of Gastrointestinal Disorders and Liver functionJournal of Gastrointestinal Disorders and Liver functionJournal of Gastrointestinal Disorders and Liver function2471-0601Ommega Online PublishersNew Jersey, USA74010.15436/2471-0601-16-740Research ArticleSuccessful Treatment of Persistent Biliary Leakage with an Endoprosthetic Transgastric Metal StentSuccessful Treatment of Persistent Biliary Leakage with an Endoprosthetic Transgastric Metal StentAndreasVolkDepartment of Visceral Thoracic and Vascular Surgery University of Dresden Dresden GermanyEditor* E-mail: andreas.volk@uniklinikum-dresden.de
The authors have declared that no competing interests exist.
20162602201622JGDLF-16-CR-74008012016230220162016Creative Commons Attribution LicenseThis is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. nbsp emsp emsp The management of patients with persistent bile leakage after hepatic resection has remained a clinical challenge Internal drainage with a fully covered metallic stent Axios may offer a novel and effective strategy for patients with persistent biliary leakage Here we here present a case of the successful treatment of a patient with persistent biliary leakage after a partial hepatectomy with endosonography-guided drainage and the placement of a covered expandable metal stent Axios The presented case underlines the therapeutic complexity of patients with chronic biliary leakage after liver resection Furthermore this case serves as a proof-of-principle that internal drainage of a bilioma into the stomach using a metal stent that is subsequently removed may serve as a permanent solution in certain cases Given some patients rsquo long histories of various failed various interventions the identification of patients who are at risk for chronic leakage and the determination of the correct timing for the application of transgastric drainage remain important challenges for the future 10