Biliary enteric anastomosis versus endoscopic stenting in management of bening biliary strictures
Ahned M., Mellegy; Mahmoud, Osman.
Scientific Journal of Al-Azhar Medical Faculty [Girls] [The]. 2002; 23 (1): 37-45
en Inglés
| IMEMR | ID: emr-60910
Forty-one patients referred for treatment with a diagnosis of benign strictures of the common bile duct were included in this study. All patients were postcholecystectomy stricture and were followed up longer than 30 months; 20 of them were treated with endoscopic stenting and 21 with surgery [hepaticojejunostomy, choledochojejunostomy or intrahepatic cholangiojejunostomy]. The postoperative mortality and morbidity and long-term outcome were studied. The rate of restenosis was also determined. Morbidity occurred mire frequently in patients treated with endoscopic procedures than with surgical ones. Hospital mortality was 0%. Surgery achieved excellent or good long-term outcome in 17 of 21 patients. Endoscopic biliary stenting was successful in 16 of 20 patients. The ability to achieve steady, long-term results confirmed hepaticojejunostomy as the best procedure in the treatment of benign biliary strictures, even if endoscopic procedures are gaining a new role in the treatment of a greater number of patients
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