Stone or stricture: does the calibre of intrahepatic bile ducts predict the diagnosis?

Grönroos, Juha; Karvonen, Jukka; Hurme, Saija

doi:10.1111/j.1445-2197.2011.05933.x

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…In initial studies, a risk of 0.1% to 0.3% was reported for this kind of complication following laparoscopic cholecystectomy, but the rate has been raised to 0.4% -0.6% in recent studies (1)(2)(3)(4)(5)(6)(7)(8). On a related note, the etiology of more than 80% of biliary strictures is believed to be iatrogenic (9). This issue was also observed in our study, where 87.5% (21/24) of our patients developed biliary strictures following a laparoscopic cholecystectomy.…”

Section: Discussionmentioning

confidence: 99%

“…This issue was also observed in our study, where 87.5% (21/24) of our patients developed biliary strictures following a laparoscopic cholecystectomy. Before the development of laparoscopic methods, the ratio of iatrogenic damage to biliary system in males was two times more than females, but this ratio has been reversed to 60% -80% in females after the usage of this technique (9).…”

Section: Discussionmentioning

confidence: 99%

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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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