Placement of metallic stents for treatment of postoperative biliary strictures: long-term outcome in 25 patients.

Abstract

This study was undertaken to evaluate the results of our 7-year experience with Gianturco-Rosch metallic stents, used for the management of postoperative biliary strictures.

Transhepatic metallic stenting for hepaticojejunostomy stricture following laparoscopic cholecystectomy biliary injury: A case of successful 20 years follow-up

“…Surgical hepaticojejunostomies have a stenosis rate of 10%-30%[7] mainly due to the biliary conditions and devascularisation ischemia caused due to right hepatic artery injury, as described in the present case. Operative approaches for repair of biliary injuries are a time-tested management option and achieve good long-term results with minimal morbidity and mortality in most patients.…”

“…[9] Blockage of lumen with tissue overgrowth in uncovered stents is more frequent in benign biliary strictures than in bilio-enteric anastomosis. [7] The efficacy of covered metallic stents has been demonstrated in various studies, even for the long-term treatment. [1011] Some intrahepatic refractory benign strictures have been managed successfully with them.…”

Percutaneous Placement of Permanent Metal Stents for Treatment of Ureteroenteric Anastomotic Strictures

“…5,6,19,20 In one series, 5 cold-knife endoureterotomy yielded a patency rate of 60.5% with 3-year follow-up. More recently, holmium:YAG laser endoureterotomy has been used, with one series 6 reporting a patency rate of 56% at 3-year follow-up.…”

“…5,6 Metal stents have been used successfully in the treatment of both benign and malignant biliary strictures. [18][19][20] More recently, such stents have been used to treat urinary obstruction caused by urethral stricture, detrusor-sphincter dyssynergia, and benign prostatic hyperplasia. [21][22][23] Several small series have investigated the benefit of permanent metal stents in the treatment of ureteroenteric anastomotic strictures.…”

Hepaticojejunostomy Anastomotic Strictures

“…However, despite initial promising results and high primary technical success rates [48,49], long-term results of benign biliary stricture treatments by metallic stents have been tempered by high rates of late re-occlusion [50]. On the other hand, retrievable covered stent seems to be a good alternative to shorten treatment duration compared to interposition of an internal-external catheter.…”