Balloon dilatation of benign postsurgical biliary-enteric anastomotic strictures

Teplick, Steven K.; Wolferth, Charles C.; Hayes, Martin F.; Amrom, George

doi:10.1007/bf01887661

Cited by 10 publications

(5 citation statements)

References 5 publications

(7 reference statements)

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“…Recently, percutaneous balloon dilatation of strictures in the biliary tree has been advocated as an alternative to surgery, The main causes of strictures discussed in the literature are anastomotic, iatrogenic, and sclerosing cholangitis [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26]. These are different from ours.…”

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confidence: 93%

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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confidence: 93%

Dilatation of intrahepatic biliary strictures in patients with hepatolithiasis

et al. 1990

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“…In adults, Gruntzig angioplasty balloon catheters have been used in the dilatation of narrowed blood vessels [1], bile ducts [2,3], ampulla of vater [4], biliary-enteric anastomoses [5,6], and esophageal strictures [7]. In children, there have been fewer reports of the use of Gruntzig balloons but they have been used successfully to dilate bilial3r [8] and esophageal strictures [9].…”

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confidence: 99%

Gruntzig angioplasty dilatation of an esophageal stricture in an infant

1985

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“…These are generally regarded as being important factors in achieving a persistently good result from dilatation. Some authors (6,16) dilate the balloon from 30 seconds up to a few minutes whereas others leave the balloon inflated from several minutes (4,14) up to 12 hours (12). There is also considerable disagreement as to whether or not a stent should be left in the dilated bile duct and for what period of time (4,12,14,16).…”

Section: Discussionmentioning

confidence: 99%

“…In 1978 MOLNAR & STOCKUM (9) reported successful percutaneous transhepatic dilatation of choledochoenterostomy strictures with a teflon caged catheter. The Griintzig balloon catheter has been successfully used for percutaneous transhepatic dilatation of benign (7,8,14) and malignant (1) biliary strictures.…”

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confidence: 99%

Balloon Catheter Dilatation of Stenotic Common Bile Duct Anastomoses in the Pig

Nilsson¹,

Ekelund²,

Hammarström³

et al. 1987

Acta Radiol

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Fibrotic stenosing anastomoses of the common bile duct were surgically created in pigs in order to investigate the effects of percutaneous transhepatic balloon catheter dilatation. In a group of 6 animals, not treated with balloon dilatation, percutaneous transhepatic cholangiography and microscopic examination of the stricture were performed 5 to 25 weeks postoperatively. A persistent stenosis and slight to moderate fibrosis of the bile duct wall and peribiliary tissue were observed. In 5 animals the stenotic anastomosis was dilated.4 to 10 weeks postoperatively and this resulted in widening of the stricture and necrosis of the mucosa at the stricture site. Rupture of the fibrotic tissue in the bile duct wall and thrombus formation in the peribiliary veins also occurred in one of these 5 animals. Short-term follow-up in 3 animals 4 to 6 weeks after balloon dilatation showed almost complete fibrotic healing and partial re-stenosis of the anastomoses.

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Balloon dilatation of benign postsurgical biliary-enteric anastomotic strictures

Cited by 10 publications

References 5 publications

Dilatation of intrahepatic biliary strictures in patients with hepatolithiasis

Dilatation of intrahepatic biliary strictures in patients with hepatolithiasis

Gruntzig angioplasty dilatation of an esophageal stricture in an infant

Balloon Catheter Dilatation of Stenotic Common Bile Duct Anastomoses in the Pig

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