Bilioenteric anastomotic stricture in patients with benign and malignant tumors: prevalence, risk factors and treatment

Zhu, Jun; Li, Xianliang; Kou, Jiantao; Dong, Hongmeng; Liu, Huanye; Bai, Chun Mei; Ma, Jun; He, Qiang

doi:10.1016/s1499-3872(17)60033-x

Cited by 25 publications

(14 citation statements)

References 17 publications

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“…Stricture can cause bile excretion disorder, resulting in the production of intrahepatic bile duct stones, bile duct inflammation, biliary cirrhosis, and other serious complications. 8 Avoiding stricture of the bilioenteric anastomosis remains a major surgical challenge. Despite development of novel methods, overcoming this issue remains difficult.…”

Section: Discussionmentioning

confidence: 99%

Clinical application of laparoscopy combined with choledochoscopy in patients with bilioenteric anastomotic stricture with access via the jejunal loops

Zhu

Xie

et al. 2021

J Int Med Res

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Objective Bilioenteric anastomotic stricture is a serious complication following choledochojejunostomy. Some patients develop intrahepatic lithiasis and biliary tract infection without dilation of the intrahepatic bile duct. The present study was performed to investigate the safety and efficacy of laparoscopy combined with choledochoscopy in patients with bilioenteric anastomotic stricture with access via the jejunal loops. Methods The data of 10 patients (7 men and 3 women; mean age, 60.8 ± 9.7 years; age range, 51–76 years) with potential bilioenteric anastomotic stricture without dilation of the intrahepatic bile duct from January 2015 to December 2019 were retrospectively reviewed. Results All 10 patients underwent surgery, and their clinical parameters were recorded. The mean surgery time was 181.5 ± 35.4 minutes, and the mean estimated blood loss was 32.0 ± 15.5 mL. No patients developed serious complications during the perioperative period. The short-term outcome analysis at 12 months indicated that the stenosis had been effectively dilated and that the liver function had improved. Conclusions The results of the present study demonstrated that laparoscopy combined with choledochoscopy with access via the jejunal loops is feasible in the treatment of bilioenteric anastomotic stricture and intrahepatic lithiasis.

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Section: Discussionmentioning

confidence: 99%

Clinical application of laparoscopy combined with choledochoscopy in patients with bilioenteric anastomotic stricture with access via the jejunal loops

Zhu

Xie

et al. 2021

J Int Med Res

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show abstract

“…Thus, a comprehensive and step up management is necessary to treat these conditions. Some authors pointed out that balloon dilation should be the first step as successful rate was 81%, whereas reoperation was considered as the final choice in all circumstances [ 12 ]. In addition, Sheng proposed that no delay in intervention should be showed in biliary obstruction [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Treatment of complex complications after choledochal cyst resection by multiple minimal invasive therapies: A case report

Nguyen

Hai

Nguyen

et al. 2020

International Journal of Surgery Case Reports

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Highlights Complications after choledochal cyst resection are common, mainly anastomotic stricture, bowel obstruction, biliary fistula and pancreatic cyst remnant. Reoperation is the optimal method for patients with pancreatic cyst remnant and hepaticojeju-nal anastomotic stricture. ERCP, balloon dilation should be considered as a supporting tools to reduce the risk and mor-bidity of surgery.

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“…Malignant bilioenteric anastomotic stricture (BAS) is an uncommon condition caused by tumor recurrence at the anastomotic site after surgery [1,2]. Published articles on BAS are few due to its low incidence and late development following surgery [3,4].…”

Section: Introductionmentioning

confidence: 99%

Metallic stent placement versus catheter drainage for malignant bilioenteric anastomotic stricture

Zhou

Liu

et al. 2021

Jpn J Radiol

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BackgroundCurrently, the percutaneous approach is the mainstream of treatment for malignant bilioenteric anastomotic stricture (BAS). However, there is no consensus on the optimal bile drainage method since previous studies on malignant BAS related jaundice are very limited. The purpose of the study is to compare self-expandable metallic stent placement with catheter drainage for malignant bilioenteric anastomotic stricture in terms of e cacy and safety. Materials and MethodsThis study included 54 patients with malignant bilioenteric anastomotic stricture treated from March 2016 to February 2020. Twenty-seven patients underwent insertion of self-expandable metallic stent (Stent group); the remaining twenty-seven patients underwent internal-external catheter drainage (Catheter group). Technical success was de ned as successful placement of stent or drainage catheter in the appropriate position; clinical success was de ned as a 20% reduction in serum bilirubin within 1 week after the procedure, compared with baseline. Complications, duration to stent/catheter malfunction, and overall survival were evaluated.

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Bilioenteric anastomotic stricture in patients with benign and malignant tumors: prevalence, risk factors and treatment

Cited by 25 publications

References 17 publications

Clinical application of laparoscopy combined with choledochoscopy in patients with bilioenteric anastomotic stricture with access via the jejunal loops

Clinical application of laparoscopy combined with choledochoscopy in patients with bilioenteric anastomotic stricture with access via the jejunal loops

Treatment of complex complications after choledochal cyst resection by multiple minimal invasive therapies: A case report

Metallic stent placement versus catheter drainage for malignant bilioenteric anastomotic stricture

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