Long-Term Follow-Up After Bilioenteric Anastomosis for Benign Bile Duct Stricture

Nealon, William H.; Urrutia, Fernando

doi:10.1097/00000658-199606000-00002

Cited by 91 publications

(61 citation statements)

References 14 publications

(5 reference statements)

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“…It has been reported that patients with bile duct stricture or injury when operative repair was performed they have had excellent results at tertiary expert referral centers (32)(33)(34)(35)(36). In several series of operative repair the mortality observed was very low (0% to 3%).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Biliary tract injuries after lap cholecystectomy—types, surgical intervention and timing

Karanikas

Bozali

Vamvakerou³

et al. 2016

Ann. Transl. Med.

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Bile duct lesions, including leaks and strictures, are immanent complications of open or laparoscopic cholecystectomy (LC). Endoscopic procedures have gained increasing potential as the treatment of choice in the management of postoperative bile duct injuries. Bile duct injury (BDI) is a severe and potentially life-threatening complication of LC. Several series have described a 0.5% to 0.6% incidence of BDI during LC. Early recognition and an adequate multidisciplinary approach are the cornerstones for the optimal final outcome. Suboptimal management of injuries often leads to more extensive damage to the biliary tree and its vasculature. Early referral to a tertiary care center with experienced hepatobiliary surgeons and skilled interventional radiologists would appear to be necessary to assure optimal results.

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Section: Resultsmentioning

confidence: 99%

“…Several studies have presented data that a minority of bile duct injuries (8% to 33%) referred to tertiary care centers have been recognized at the time of LC (32)(33)(34)(35)(36). Usually, unexplained bile drainage raises the suspicion of a biliary injury.…”

Section: Recognized At Lcmentioning

confidence: 99%

Biliary tract injuries after lap cholecystectomy—types, surgical intervention and timing

Karanikas

Bozali

Vamvakerou³

et al. 2016

Ann. Transl. Med.

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“…Although surgery has the theoretical advantage of being definitive, 4 endoscopic stent placement has gained acceptance as an initial treatment because of its simplicity and low morbidity and mortality.…”

Section: 류충헌 등 양성 담도협착에서 완전 피막형 금속 스텐트 삽입의 효과mentioning

confidence: 99%

Temporary Placement of Fully Covered Self-expandable Metal Stents in Benign Biliary Strictures

Ryu

Kim

Lee

et al. 2013

Korean J Gastroenterol

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Background/Aims: Benign biliary strictures (BBSs) have been endoscopically managed with plastic stent placement. However, data regarding fully covered self-expandable metal stents (FCSEMSs) in BBS patients remain scarce in Korea. Methods: Forty-one patients (21 men, 65.9%) with BBSs underwent FCSEMS placement between February 2007 and July 2010 in Asan Medical Center. Efficacy and safety were evaluated retrospectively. Patients were considered to have resolution if they showed evidence of stricture resolution on cholangiography and if an inflated retrieval balloon easily passed through the strictures at FCSEMS removal. Results: The mean FCSEMS placement time was 3.2 (1.9-6.2) months. Patients were followed for a mean of 10.2 (1.0-32.0) months after FCSEMS removal. The BBS resolution rate was confirmed in 38 of 41 (92.7%) patients who underwent FCSEMS removal. After FCSEMS removal, 6 of 38 (15.8%) patients experienced symptomatic recurrent stricture and repeat stenting was performed. When a breakdown by etiology of stricture was performed, 14 of 15 (93.3%) patients with chronic pancreatitis, 17 of 19 (89.5%) with gall stone-related disease, 4 of 4 (100%) with surgical procedures, and 2 of 2 (100%) with BBSs of other etiology had resolution at FCSEMS removal. Complications related to stent therapy occurred in 12 (29%) patients, including post-ERCP pancreatitis (n=4), proximal migration (n=3), distal migration (n=3), and occlusion (n=2). Conclusions: Temporary FCSEMS placement in BBS patients offers a potential alternative to plastic stenting. However, because of the significant complications and modest resolution rates, the potential benefits and risks should be evaluated in further investigations. (Korean J Gastroenterol 2013;62:49-54)

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“…Optimal management of an IBDI depends on several factors, including type of injury, associated vascular injuries, condition of the patient, timing of reconstruction and availability of expertise, and includes open surgical and endo-therapeutic options [2]. Reconstructive hepaticojejunostomy which is commonly performed, is associated with low mortality and low morbidity [3,4]. Minor injuries can be managed endoscopically with comparable success rates [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Case series on endoscopic simultaneous multiple plastic stent dilatation of strictures following iatrogenic bile duct injury

Kapr¹,

Aa²

2017

Gastroenterol Hepatol Endosc

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Iatrogenic bile duct injuries (IBDI) are a devastating complication of cholecystectomy. Optimal management of the IBDI depends on several factors including type of injury and availability of equipment and expertise. Reconstructive hepaticojejunostomy is a well-established and commonly performed procedure for IBDI s. However, endoscopic serial multiple stent dilation of IBDI strictures has gained popularity in the recent era. In our case series we have adopted a protocol based placement of multiple plastic stents for E2, E3 IBDI strictures with a high success rate.

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Long-Term Follow-Up After Bilioenteric Anastomosis for Benign Bile Duct Stricture

Cited by 91 publications

References 14 publications

Biliary tract injuries after lap cholecystectomy—types, surgical intervention and timing

Biliary tract injuries after lap cholecystectomy—types, surgical intervention and timing

Temporary Placement of Fully Covered Self-expandable Metal Stents in Benign Biliary Strictures

Case series on endoscopic simultaneous multiple plastic stent dilatation of strictures following iatrogenic bile duct injury

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