Secondary Biliary Cirrhosis

Jeng, Kuo‐Shyang; Shih, Shou-Chuan; Chiang, Hsin‐Ju; Chen, Bee-Fong

doi:10.1001/archsurg.1989.01410110059012

Cited by 31 publications

(2 citation statements)

References 20 publications

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“…Nonoperative extraction of biliary calculi has been reported recently [27][28][29][30][31][32][33][34][35][36][37][38][39]; however, in our series with intrahepatic biliary strictures, the treatment failure rate of stone extraction (rate of retained calculi) without dilatation therapy is high---up to 100%. With the addition of dilatation therapy, the treatment failure rate decreased significantly to 5.3%.…”

Section: Discussionmentioning

confidence: 68%

Dilatation of intrahepatic biliary strictures in patients with hepatolithiasis

et al. 1990

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To investigate the role of balloon dilatation in the management of complicated hepatolithiasis with intrahepatic biliary stricture, 57 consecutive patients who received 208 sessions of dilatation in addition to the usual treatment were analyzed. The strictures were located in the right intrahepatic ducts (84.2%), left intrahepatic ducts (12.3%), or both (3.5%). Dilatation began 3-4 weeks after surgery. The routes of dilatation included the matured T-tube tract (3 cases), percutaneous transhepatic biliary drainage tracts (42 cases), and both (12 cases). The immediate overall success rate of complete stone clearance increased significantly from 0% predilatation to 94.7% postdilatation. The main complications of dilatation therapy consisted of septicemia (10.5%), hemobilia (10.5%), and mild diarrhea (80%). Eight patients (14%) with long-segment strictures received 11 postdilatation biliary stentings. Complications were 1 patient with occlusion and 2 patients with "spontaneous" hemobilia. Severe multiple strictures and coexistent secondary biliary cirrhosis were the contributing factors to complications. During the follow-up of 3.4 +/- 1.2 years, recurrence of strictures was found in 4 patients. Two of them belonged to the stenting group. The cumulative probability of restricture was low: 4% at 2 years, 6% at 2.5 years, and 8% at 3 years. We conclude that in complicated cases of hepatolithiasis with intrahepatic biliary stricture, dilatation and stenting are good adjuvant therapies.

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Section: Discussionmentioning

confidence: 68%

Dilatation of intrahepatic biliary strictures in patients with hepatolithiasis

et al. 1990

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“…Systemic bacteraemia may also occur in severe cases [5]. Without adequate treatment infections can lead to severe complications and death [6,7].…”

Section: Introductionmentioning

confidence: 99%

Aerobic bacteria associated with symptomatic gallstone disease and their antimicrobial susceptibility

Gomes¹,

Fernando²,

Weerasekara

et al. 2009

Galle Med J

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Are Expandable Metallic Stents Better Than Conventional Methods for Treating Difficult Intrahepatic Biliary Strictures With Recurrent Hepatolithiasis?

Jeng

Sheen²,

Yang³

1999

Arch Surg

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Background: Conventional methods for treating patients with recurrent hepatolithiasis associated with complicated intrahepatic biliary strictures include balloon dilatation of the intrahepatic biliary strictures, lithotripsy, and the clearance of difficult stones as completely as possible, with the placement of an external-internal stent for at least 6 months. After these modalities are used, symptomatic refractory strictures remain. Recently we used internal Gianturco-Rosch metallic Z stents to treat patients who had refractory strictures. Objective: To compare therapeutic results and complications of an internal expandable metallic Z stent with those of repeated external-internal stent placement.

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Secondary Biliary Cirrhosis

Cited by 31 publications

References 20 publications

Dilatation of intrahepatic biliary strictures in patients with hepatolithiasis

Dilatation of intrahepatic biliary strictures in patients with hepatolithiasis

Aerobic bacteria associated with symptomatic gallstone disease and their antimicrobial susceptibility

Are Expandable Metallic Stents Better Than Conventional Methods for Treating Difficult Intrahepatic Biliary Strictures With Recurrent Hepatolithiasis?

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