Percutaneous balloon dilatation for benign hepaticojejunostomy strictures
| Autor: | N. J. Smits, E. A. J. Rauws, P. M. Vos, E. J. R. van Beek, J. W. A. J. Reeders, D. J. Gouma |
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| Přispěvatelé: | Other departments |
| Rok vydání: | 2000 |
| Předmět: |
Adult
Male medicine.medical_specialty Gastrointestinal bleeding Percutaneous Adolescent Urology medicine.medical_treatment Hepatic Duct Common Constriction Pathologic Percutaneous transhepatic cholangiography Catheterization Surgical anastomosis Recurrence Humans Medicine Radiology Nuclear Medicine and imaging Ultrasonography Interventional Aged Radiological and Ultrasound Technology business.industry Anastomosis Surgical Gastroenterology General Medicine Middle Aged medicine.disease Surgery Stenosis Jejunum Biliary tract Female Cholecystectomy Radiology business Complication |
| Zdroj: | Abdominal imaging, 25(2), 134-138. Springer New York |
| ISSN: | 1432-0509 0942-8925 |
| DOI: | 10.1007/s002619910032 |
| Popis: | Background: Percutaneous balloon dilatation of biliary tract strictures is generally accepted as a safe and inexpensive procedure. The effectiveness in selected groups of patients remains under discussion. The purpose of this study was to evaluate the results of percutaneous balloon dilatation in patients with a benign stricture of a hepaticojejunostomy. Methods: Fifteen patients with a benign stricture of a hepaticojejunostomy were examined between 1993 and July 1997. An ultrasound-guided percutaneous transhepatic cholangiography (PTC) procedure was performed, followed by a balloon dilatation. Follow-up was performed prospectively by outpatient visits and laboratory testing. Results: Percutaneous dilatation was successful in 14 patients. Three patients developed a recurrence. In one of these patients, the procedure was repeated successfully. Gastrointestinal bleeding occurred in one patient. The success rate for balloon dilatation in this group of patients was 73% after a mean follow-up of 30 months. When the procedure was repeated, the success rate was 80% after a mean follow-up of 33 months. Conclusions: Percutaneous balloon dilatation for benign hepaticojejunostomy strictures is feasible in the majority of patients and produces acceptable medium-term to long-term results. Advantages are its minimal invasive character and the fact that all options remain open in case of failure. |
| Databáze: | OpenAIRE |
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