MALIGNANT BILIARY OBSTRUCTION COMPLICATED BY ASCITES - CLOSURE OF THETRANSHEPATIC TRACT WITH CYANOACRYLATE GLUE AFTER PLACEMENT OF AN ENDOPROSTHESIS

A new technique using cyanoacrylate glue is suggested for closing the transparenchymal tract following metallic endoprosthesis placement in a patient with malignant biliary obstruction complicated by ascites. W ith this technique, complications related to bile reflux through the t ransparenchymal tract would be avoided after transhepatic endoprosthes is placement in patients who have ascites, This technique would also b e useful for avoiding bleeding following transhepatic portal venous pu ncture.