Transjejunal biliary interventions: Going back to a road less traveled

Jorge E. Lopera, Gregory R. Ramsey

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations


Percutaneous transhepatic biliary interventions are not without risk and potential complications. In patients with bilioenteric anastomosis in whom repeat biliary interventions are expected, percutaneous transjejunal access is a very useful approach that is not frequently used nowadays. We provide a brief review of the history, indications, and current status of transjejunal biliary interventions. Transjejunal biliary access provides a relatively atraumatic pathway to the biliary system in patients that need repeat interventions. Multiple studies have provided convincing data that in appropriately chosen patients receiving a bilioenteric anastomosis, an antecolic limb of jejunum should be placed for subsequent access in biliary intervention.

Original languageEnglish (US)
Pages (from-to)1210-1218
Number of pages9
JournalActa Radiologica
Issue number10
StatePublished - Dec 2014


  • Adults
  • Bile duct
  • Biliary
  • Dilation
  • Interventional
  • Percutaneous

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging


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