Percutaneous treatment of benign bile duct strictures

Köcher, Martin; Černá, Marie; Havlík, R; Král, Vladimír; Gryga, A; Duda, M

doi:10.1016/j.ejrad.2007.01.032

Cited by 75 publications

(51 citation statements)

References 19 publications

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“…Kocher et al reported a 94% long-term success rate in their study (22). This rate was 90% in the study of Thomas et al (25), while Lee et al reported a 93% success rate (26).…”

Section: Discussionmentioning

confidence: 68%

Short- and Long-Term Outcome of Balloon Dilatation of Benign Biliary Strictures

et al. 2016

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Background: The rate of benign biliary strictures has increased in recent years. Objectives: We studied the short-and long-term efficacy of biliary balloon dilatation in patients suffering from benign biliary strictures due to prior abdominal surgeries, such as laparoscopic cholecystectomy or liver transplantation. Patients and Methods: An initial baseline biochemistry profile and ultrasound examination of the biliary system was done before each procedure, and 3 and 6 month follow-up sessions were completed after the completion of the biliary balloon dilatation procedure. Serum bilirubin, liver enzyme levels, and ultrasonography findings were investigated during every session. Results: Twenty four patients, 17 females (70.8%) and 7 males (29.2%), were included in this study. In 21 (88%) of the patients, the biliary stricture was developed after a laparoscopic cholecystectomy, while in 2 (8%) it was a complication of a liver transplantation. The remaining patients (4%) developed it after autoimmune pancreatitis (Whipple surgery). Among the 24 patients, 2 died within 2 months after the ballooning, mainly due to complications of their previous surgery and secondary liver cirrhosis. We found a significant decrease in serum bilirubin levels after balloon dilatation (P < 0.0001). All the patients showed normal ultrasonography findings after the procedure, and all reported complete relief of symptoms after a 6-month period. Conclusion: Serum bilirubin levels were significantly decreased after balloon dilatation. This procedure has led to a success rate of 95% in the short term and 91% in the long term.

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“…Kocher et al reported a 94% long-term success rate in their study (22). This rate was 90% in the study of Thomas et al (25), while Lee et al reported a 93% success rate (26).…”

Section: Discussionmentioning

confidence: 68%

Short- and Long-Term Outcome of Balloon Dilatation of Benign Biliary Strictures

et al. 2016

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“…When these strictures are not accessible by the endoscope or the stenosis itself is the result of surgical treatment, radiological percutaneous dilatation treatment is indicated. The percutaneous treatment includes initial drainage and dilatation of the stricture with balloon angioplasty catheters of diff erent diameters 8 . When treated percutaneously the typical sequence for determining the treatment success and potential durability is the cholangiographic impression of the free fl ow of contrast medium across the stricture followed by 'clinical test'.…”

Section: Discussionmentioning

confidence: 99%

Biliary Manometric Perfusion Test in the Evaluation of Benign Biliary Stricture Treatment - A Case Report

Thomas¹,

Köcher²,

Černá³

et al. 2008

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Background: Benign biliary strictures treated radiologically by percutaneous dilatation treatment are usually evaluated by 'clinical test'. For objective evaluation of treatment success, measurement of the pressure inside the biliary tree has been proposed.Aim: The aim of this article is to report our experience with the measurement of the pressure in the biliary tree after treatment, to present the biliary manometric perfusion test (BMPT) as an alternative method of treatment evaluation and to demonstrate why the perfusion test is a better method of evaluation.Materials and Methods: A 65 year old lady with post operative biliary stricture and symptoms of jaundice was treated in our Department with percutaneous dilatation treatment and long-term drainage. The perfusion test (BMPT) was adopted for evaluating treatment success after the treatment for 9 months. An intrabiliary pressure less than 20 cms of water during perfusion test was considered success threshold.Results: The test was carried out without any complications and the pressure inside the biliary tree was less than 20 cms of water during the test. Eventually the drain was removed. On follow-up at 6 months the patient developed no recurrence of jaundice and the quality of life improved clinically. Periodic liver function tests during follow-up were normal. Conclusion:The perfusion test(BMPT) is promising effi cacious alternative method for the evaluation of radiological treatment of benign biliary strictures. It helps us to decide the end points in treatment and also helps in identifying patients who might later develop strictures.

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“…Indications for hepaticojejunostomy were injury to bile ducts during laproscopic cholecystectomy in 9 patients, duodenopancreatectomy in 2 patients and resection of benign tumor in one patient. Six patients had symptoms of obstructive jaundice or obstructive jaundice and cholangitis, two patients had symp-R. P. Thomas After the initial transhepatic drainage, balloon dilatation and long term external internal drainage had been done for all patients according to the methodology percutaneous dilatation treatment described in literature 1,5,6 . Subsequently follow-up cholangiography usually after 6 months was performed.…”

Section: Methodsmentioning

confidence: 99%

“…When surgical repair is impossible or endoscopic treatment is difficult, radiological percutaneous dilatation treatment is indicated. Percutaneous treatment includes initial drainage and dilatation of stricture by balloon angioplasty catheters of different diameters and long-term external-internal drainage [1][2][3][4] . When treated percutaneously, the typical sequence for determining treatment success and potential durability is the cholangiographic impression of the free flow of contrast medium across the treated stricture followed by the 'clinical test'.…”

Section: Introductionmentioning

confidence: 99%