Benign Biliary Strictures and Leaks

Devière, Jacques

doi:10.1016/j.giec.2015.06.004

Cited by 5 publications

(3 citation statements)

References 37 publications

(43 reference statements)

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“…Complex dissection, poorly defined anatomy, or management of intraoperative bleeding by clipping can cause early-phase stricture. 69 Late-phase stricture may result from ischemic injury in the bile ducts, and a stricture may not develop clinically until several years after the initial injury. Endoscopic treatment with MPS or FCSEMS insertion is a more preferred method for strictures after biliary surgery than percutaneous treatment, but multidisciplinary approaches involving endoscopists, radiologists, and surgeons are usually required to resolve these complicated BBSs.…”

Section: Other Biliary Strictures After Surgerymentioning

confidence: 99%

Magnetic Compression Anastomosis for the Treatment of Post-Transplant Biliary Stricture

2020

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A number of different conditions can lead to a bile duct stricture. These strictures are particularly common after biliary operations, including living-donor liver transplantation. Endoscopic and percutaneous methods have high success rates in treating benign biliary strictures. However, these conventional methods are difficult to manage when a guidewire cannot be passed through areas of severe stenosis or complete obstruction. Magnetic compression anastomosis has emerged as an alternative nonsurgical treatment method to avoid the mortality and morbidity risks of reoperation. The feasibility and safety of magnetic compression anastomosis have been reported in several experimental and clinical studies in patients with biliobiliary and bilioenteric strictures. Magnetic compression anastomosis is a minimally traumatic and highly effective procedure, and represents a new paradigm for benign biliary strictures that are difficult to treat with conventional methods.

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Section: Other Biliary Strictures After Surgerymentioning

confidence: 99%

Magnetic Compression Anastomosis for the Treatment of Post-Transplant Biliary Stricture

2020

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“…Because passing the delivery system of the stent through the stricture can be difficult, stricture dilation is occasionally required before placing the stent. Standard endoscopic dilation techniques for biliary stricture include the use of a balloon or a bougie catheter . However, these techniques are sporadically ineffective for severe stricture.…”

Section: Introductionmentioning

confidence: 95%

“…Benign biliary stricture (BBS) may occur as a result of inflammation following surgery including living donor liver transplantation (LDLT) and hepatectomy, as well as from intrahepatic bile duct (BD) stone, immunoglobulin (Ig)G4‐related cholangitis, and primary sclerosing cholangitis . BBS can occasionally lead to acute cholangitis; therefore, proper dilation and drainage are essential.…”

Section: Introductionmentioning

confidence: 99%

Short‐ and long‐term outcomes of a novel transpapillary dilation technique using a diathermic dilator for severe benign bile duct stricture

Kato

Kuwatani

Kawakubo

et al. 2019

Digestive Endoscopy

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Endoscopic dilation for severe benign biliary stricture using mechanical dilation devices is occasionally ineffective. Hence, diathermic dilation has recently been gaining attention as a salvage procedure. We evaluated the short‐ and long‐term outcomes of diathermic dilation for severe benign biliary stricture that could not be dilated using conventional mechanical dilation. Thirteen consecutive cases with severe benign biliary stricture that underwent diathermic dilation using 6‐Fr electrocautery dilator were enrolled. Short‐ and long‐term outcomes were analyzed. Diathermic dilation was successful in 13 cases (100%), whereas stent was successfully placed in 12 cases (92.3%). Adverse events occurred in two cases (15.4%): mild hemobilia and cholangitis. Recurrence of bile duct stricture was observed in five out of 12 cases (41. 7%) in the 1115‐day median follow‐up period. Finally, eight cases achieved stent‐free state (61.5%) and have remained stent‐free without any episode of cholangitis and abnormal liver function test. Diathermic dilation using 6‐Fr electrocautery dilator is a promising salvage procedure for severe benign biliary stricture when the conventional dilation technique has been ineffective.

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Totally Obstructed Biliary Stricture II: Clinical Applications and Results of Magnetic Compression Anastomosis

Jang

Won

Lee

2019

Advanced ERCP for Complicated and Refractory Biliary and Pancreatic Diseases

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Benign Biliary Strictures and Leaks

Cited by 5 publications

References 37 publications

Magnetic Compression Anastomosis for the Treatment of Post-Transplant Biliary Stricture

Magnetic Compression Anastomosis for the Treatment of Post-Transplant Biliary Stricture

Short‐ and long‐term outcomes of a novel transpapillary dilation technique using a diathermic dilator for severe benign bile duct stricture

Totally Obstructed Biliary Stricture II: Clinical Applications and Results of Magnetic Compression Anastomosis

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