| Autor: |
Sakai, Yuji, Tsuyuguchi, Toshio, Ishihara, Takeshi, Yukisawa, Seigo, Sugiyama, Harutoshi, Miyakawa, Kaoru, Kuroda, Yasuhisa, Yamaguchi, Taketo, Ozawa, Shinichi, Yokosuka, Osamu |
| Předmět: |
|
| Zdroj: |
Journal of Gastroenterology & Hepatology; Jul2009, Vol. 24 Issue 7, p1191-1197, 7p, 7 Black and White Photographs, 1 Chart, 1 Graph |
| Abstrakt: |
Aim: To compare the outcome of endoscopic therapy for postoperative benign bile duct stricture and benign bile duct stricture due to chronic pancreatitis, including long-term prognosis. Methods: The subjects were 20 patients with postoperative benign bile duct stricture and 13 patients with bile duct stricture due to chronic pancreatitis who were 2 years or more after initial therapy. The patients underwent transpapillary drainage with tube exchange every 3 to 6 months until being free from the tube. Successful therapy was defined as a stent-free condition without hepatic disorder. Results: Endoscopic therapy was successful in 90% (18/20) of the patients with postoperative bile duct stricture. The stent was removed (stent free) in 100% (20/20) of the patients, but jaundice resolved in only 10% (2/20) of patients while biliary enzymes kept increasing. Restricture occurred in 5% (1/20) of the patients, but after repeat treatment the stent could be removed. In patients with bile duct stricture due to chronic pancreatitis the therapy was successful in only 7.7% (1/13) of the patients; the stent was retained in 92.3% (12/13) of the patients during a long period. Severe acute pancreatitis occurred in 3.0% (1/33) of the patients as an accidental symptom attributable to endoscopic retrograde cholangiopancreatography (ERCP); however, it remitted after conservative treatment. Conclusion: Our results further confirm the usefulness of endoscopic therapy for postoperative benign bile duct strictures and good long-term prognosis of the patients. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
Plný text