Percutaneous treatment of benign bilioenteric anastomotic strictures: temporary covered stent placement versus balloon dilatation

Yun, Gabin; Yoon, Chang Jin; Seong, Nak Jong

doi:10.1007/s00330-018-5776-5

Cited by 20 publications

(16 citation statements)

References 26 publications

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“…[24,25] Even in the case of metal stent placement, drainage catheters are still required for prolonged periods, but there is a risk of stent migration, and retrieval procedures may be technically challenging. [26] Recently, Yun et al [27] compared balloon dilation with the percutaneous placement of a temporarily covered stent designed for spontaneous migration and demonstrated a lower rate of recurrent strictures for the stent group (54.5% vs. 13.0%) and better 1-and 3-year primary patency rates (90.2% and 84.9% for the stent group and 75.1% and 52.8% for the balloon group).…”

Section: Discussionmentioning

confidence: 99%

EUS-guided biliary drainage for the management of benign biliary strictures in patients with altered anatomy: A single-center experience

et al. 2020

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Background and Objectives:The management of benign biliary stricture in patients with altered anatomy secondary to surgery is challenging. Percutaneous transhepatic biliary drainage (BD) represents the standard therapy for benign biliary stricture, but it is associated with nontrivial morbidity rates. Despite the increasing application of guided BD (EUS-BD) for the management of malignant obstruction, its role in patients with benign biliary stricture is limited. This retrospective study aimed to evaluate the feasibility, safety, and clinical effectiveness of EUS-BD with multiple transanastomotic plastic stent treatment in patients with benign biliary stricture. Materials and Methods: This study included consecutive patients who underwent EUS-BD for benign biliary stenosis at our center. EUS-BD with fully covered self-expandable metal stent placement was performed first. When feasible, the stricture was treated by balloon dilation with the placement of a transanastomotic double-pigtail plastic stent. Scheduled procedures were repeated to remove the metal stent and replace the plastic stent to treat the stenosis. Technical success and adverse events (AEs) were assessed. Results: Twelve patients underwent EUS-BD for benign biliary strictures. Procedural and clinical successes were achieved in all patients (100%). Multistenting treatment was performed in 10/12 patients (77%). The median number of stents inserted, maximum number of stents placed, and median time of retreatment were 2.4 (range: 1-4), 4, and 3.4 (range: 1-7), respectively. In total, 4/12 patients (33.3%) developed AEs that required endoscopic interventions (Clavien-Dindo Grade III). Conclusions: EUS-BD with the placement of multiple trans-stenosis plastic stents is a safe, feasible, and well-tolerated alternative for the management of benign biliary stricture in patients with surgery-altered anatomy. Long-term follow-up is necessary to support our results.

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Section: Discussionmentioning

confidence: 99%

EUS-guided biliary drainage for the management of benign biliary strictures in patients with altered anatomy: A single-center experience

et al. 2020

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“…59,60 Compared with conventional balloon dilation, CSEMSs have demonstrated superior primary patency (90 vs. 75% at 1 year and 85 vs. 53% at 3 years) and shorter PTBD indwelling time (7 vs. 71 days). 61 In addition, CSEMS has shown superior primary patency rates in comparison with large bore catheters (92 vs. 83% at 1 year and 84 vs. 69% at 3 years), as well as less recurrent strictures (15 vs. 44%). 62 Only 1 of 26 patients (4%) had stent migration.…”

Section: Percutaneous Biliary Stentmentioning

confidence: 94%

Percutaneous Management of Benign Biliary Strictures

Fang

Kim

Ukeh

et al. 2021

Semin intervent Radiol

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Benign biliary strictures are often due to a variety of etiologies, most of which are iatrogenic. Clinical presentation can vary from asymptomatic disease with elevated liver enzymes to obstructive jaundice and recurrent cholangitis. Diagnostic imaging methods, such as ultrasound, multidetector computed tomography, and magnetic resonance imaging (cholangiopancreatography), are used to identify stricture location, extent, and possible source of biliary obstruction. The management of benign biliary strictures requires a multidisciplinary team approach and include endoscopic, percutaneous, and surgical interventions. Percutaneous biliary interventions provide an alternative diagnostic and therapeutic approach, especially in patients who are not amenable to endoscopic evaluation. This review provides an overview of benign biliary strictures and percutaneous management by interventional radiologists. Diagnostic evaluation with percutaneous transhepatic cholangiography and treatment options, including biliary drainage, balloon dilation, retrievable/biodegradable stents, and other innovative minimally invasive options, are discussed.

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“… 154 155 156 The covered stents offer significantly longer patency rates of benign bilioenteric anastomotic strictures compared with balloon dilatation (3-year patency 85 vs. 53%). 163 …”

Section: Methodsmentioning

confidence: 99%

Indian College of Radiology and Imaging Evidence-Based Guidelines for Percutaneous Image-Guided Biliary Procedures

Madhusudhan

Valakkada

Keshava

2021

Indian J Radiol Imaging

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Percutaneous biliary interventions are among the commonly performed nonvascular radiological interventions. Most common of these interventions is the percutaneous transhepatic biliary drainage for malignant biliary obstruction. Other biliary procedures performed include percutaneous cholecystostomy, biliary stenting, drainage for bile leaks, and various procedures like balloon dilatation, stenting, and large-bore catheter drainage for bilioenteric or post-transplant anastomotic strictures. Although these procedures are being performed for ages, no standard guidelines have been formulated. This article attempts at preparing guidelines for performing various percutaneous image-guided biliary procedures along with discussion on the published evidence in this field.

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Percutaneous treatment of benign bilioenteric anastomotic strictures: temporary covered stent placement versus balloon dilatation

Cited by 20 publications

References 26 publications

EUS-guided biliary drainage for the management of benign biliary strictures in patients with altered anatomy: A single-center experience

EUS-guided biliary drainage for the management of benign biliary strictures in patients with altered anatomy: A single-center experience

Percutaneous Management of Benign Biliary Strictures

Indian College of Radiology and Imaging Evidence-Based Guidelines for Percutaneous Image-Guided Biliary Procedures

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