Temporary Placement of Stent Grafts in Postsurgical Benign Biliary Strictures: a Single Center Experience
Korean Journal of Radiology
;
: 708-713, 2011.
Article
in English
| WPRIM
| ID: wpr-155122
ABSTRACT
OBJECTIVE:
To evaluate the effect of temporary stent graft placement in the treatment of benign anastomotic biliary strictures. MATERIALS ANDMETHODS:
Nine patients, five women and four men, 22-64 years old (mean, 47.5 years), with chronic benign biliary anastomotic strictures, refractory to repeated balloon dilations, were treated by prolonged, temporary placement of stent-grafts. Four patients had strictures following a liver transplantation; three of them in bilio-enteric anastomoses and one in a choledocho-choledochostomy. Four of the other five patients had strictures at bilio-enteric anastomoses, which developed after complications following laparoscopic cholecystectomies and in one after a Whipple procedure for duodenal carcinoma. In eight patients, balloon-expandable stent-grafts were placed and one patient was treated by insertion of a self-expanding stent-graft.RESULTS:
In the transplant group, treatment of patients with bilio-enteric anastomoses was unsuccessful (mean stent duration, 30 days). The patient treated for stenosis in the choledocho-choledochostomy responded well to consecutive self-expanding stent-graft placement (total placement duration, 112 days). All patients with bilio-enteric anastomoses in the non-transplant group were treated successfully with stent-grafts (mean placement duration, 37 days).CONCLUSION:
Treatment of benign biliary strictures with temporary placement of stent-grafts has a positive effect, but is less successful in patients with strictures developed following a liver transplant.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Postoperative Complications
/
Anastomosis, Surgical
/
Stents
/
Cholestasis
/
Foreign-Body Migration
/
Liver Transplantation
/
Constriction, Pathologic
/
Device Removal
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
English
Journal:
Korean Journal of Radiology
Year:
2011
Type:
Article
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