Percutaneous balloon dilatation for benign hepaticojejunostomy strictures

Vos, Patrick M.; Beek, Edwin Jacques Rudolph van; Smits, N. J.; Rauws, E. A. J.; Gouma, Dirk J.; Reeders, Jacques W. A. J.

doi:10.1007/s002619910032

Cited by 59 publications

(42 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Because of stricture elasticity, some operators advocate for use of balloon diameters 25%-30% larger than the normal duct. 1,15 Most commonly 8-10 mm 20 are used, though balloon sizes up to 15 mm have been reported without an associated increase in complictions. 1 Short term recurrence of the stricture suggests that the balloon diameter used was too small or the balloon pressure was not great enough to fracture the scar.…”

Section: Balloon Diametermentioning

confidence: 99%

“…15,[21][22][23] In his initial description, Molnar and Stockum 9 inflated their balloons for approximately 1-3 minutes, which remains the most commonly used inflation time today. 9,12,16,19,20 There has been no documented difference in outcome between short and long dilation times, and several institutions do not specify a specific time on their protocols. Of the largest studies in the past decade, the shortest inflation time of 10-30 seconds was associated with a treatment failure rate of 17%, 15 while the longest inflation time of 3 minutes was associated with a treatment failure rate of …”

Section: Balloon Inflation Durationmentioning

confidence: 99%

See 1 more Smart Citation

Percutaneous intervention for bilioenteric anastomotic strictures: Current strategies and future directions

Hai

Kuban

2017

Int J Gastrointest Interv

View full text Add to dashboard Cite

Postoperative bilioenteric anastomotic strictures are encountered in a significant number of patients after primary biliary repair, hepatopancreaticobiliary tumor resection, and liver transplantation. Due to difficulties with repeat surgery and endoscopic access, percutaneous dilation has become the accepted treatment in these cases. While the overall paradigm of percutaneous access, balloon dilation, and catheter stenting remains consistent, institutional protocols differ in several technical variables including balloon sizes, inflation techniques, catheter sizing, and overall time course of treatment, amongst others. The current review aims to discuss various treatment protocols and their relative efficacy, as well as touch on emerging techniques.

show abstract

Section: Balloon Diametermentioning

confidence: 99%

Section: Balloon Inflation Durationmentioning

confidence: 99%

Percutaneous intervention for bilioenteric anastomotic strictures: Current strategies and future directions

Hai

Kuban

2017

Int J Gastrointest Interv

View full text Add to dashboard Cite

show abstract

“…PTC using cutting balloon and/or conventional balloons is of great help in treating benign biliary strictures including biliary-enteric anastomotic site strictures especially in patients with biliary-enteric anastomosis in whom endoscopic approach is technically difficult [58][59][60][61] . The combined use of conventional and cutting balloons has better technical success rates and better patency rates in comparison with isolated use of conventional or cutting balloons [60,62,63] (Figure 10).…”

Section: Ptcmentioning

confidence: 99%

Imaging and radiological interventions in extra-hepatic portal vein obstruction

Pargewar¹,

Desai²,

Rajesh³

et al. 2016

WJR

View full text Add to dashboard Cite

Extrahepatic portal vein obstruction (EHPVO) is a primary vascular condition characterized by chronic long standing blockage and cavernous transformation of portal vein with or without additional involvement of intrahepatic branches, splenic or superior mesenteric vein. Patients generally present in childhood with multiple episodes of variceal bleed and EHPVO is the predominant cause of paediatric portal hypertension (PHT) in developing countries. It is a pre-hepatic type of PHT in which liver functions and morphology are preserved till late. Characteristic imaging findings include multiple parabiliary venous collaterals which form to bypass the obstructed portal vein with resultant changes in biliary tree termed portal biliopathy or portal cavernoma cholangiopathy. Ultrasound with Doppler, computed tomography, magnetic resonance cholangiography and magnetic resonance portovenography are non-invasive techniques which can provide a comprehensive analysis of degree and extent of EHPVO, collaterals and bile duct abnormalities. These can also be used to assess in surgical planning as well screening for shunt patency in post-operative patients. The multitude of changes and complications seen in EHPVO can be addressed by various radiological interventional procedures. The myriad of symptoms arising secondary to vascular, biliary, visceral and neurocognitive changes in EHPVO can be managed by various radiological interventions like transjugular intra-hepatic portosystemic shunt, percutaneous transhepatic biliary drainage, partial splenic embolization, balloon occluded retrograde obliteration of portosystemic shunt (PSS) and revision of PSS. Core tip: The present review describes the etiopathogenesis and role of imaging modalities in Extrahepatic portal vein obstruction and role of various radiological interventional procedures in its management. Pargewar SS et al . Imaging and interventions in EHPVOThe advantages and potential limitations of each imaging modality namely endoscopic retrograde cholangiography, ultrasonography and Doppler, multidetector computed tomography, magnetic resonance cholangiography and portovenography, endoscopic ultrasound and ultrasound transient elastography are discussed. Also, the concepts behind the use of interventional procedures like transjugular intra-hepatic portosystemic shunt, percutaneous transhepatic biliary drainage, partial splenic embolization, splenic artery aneurysmal embolization, balloon occluded retrograde obliteration of portosystemic shunt, etc. , are described.

show abstract

“…Recurrent cholangitis is a potentially life threatening complication. Some of these patients develop biliary cirrhosis and portal hypertension despite all interventions and fi nally end up in liver transplantation 4 . The clinical picture of decompensated bile duct obstruction includes colic attacks manifested by right upper quadrant pain, jaundice and fever with chills.…”

Section: Benign Biliary Strictures Clinical Signsmentioning

confidence: 99%

Percutaneous Treatment of Benign Biliary Strictures and Biliary Manometric Perfusion Test

Thomas¹,

Köcher²

2007

BIOMED PAP

View full text Add to dashboard Cite

Background: Benign biliary strictures are usually treated surgically or endoscopically. When these strictures are not accessible by endoscope or when open repair is not possible, percutaneous dilatation treatment is indicated. The effi cacy of treatment is usually evaluated by clinical trial which includes leaving a small non-functional catheter in situ and following liver function tests. The evaluation may be eff ectively done by the biliary manometric perfusion test.Aim: The aim of this paper is to emphasize the importance of percutaneous dilatation treatment of benign biliary strictures with focus on the role of the biliary manometric perfusion test and its future prospects.Methods and Results: Based on the literature and our own experience, this article gives a short overview of percutaneous treatment of benign biliary strictures, indications, techniques, complications and results. The treatment of these strictures has an overall success rate between 60 to 90 %. This article also explains the biliary manometric test, the technique and its importance in evaluation of treatment success.Conclusion: Benign biliary strictures of the hepatic duct junction or bilio-enteric anastomosis are diffi cult to treat surgically and are endoscopically inaccessible. Percutaneous treatment by balloon dilatation and long term externalinternal drainage is feasible in the majority of these patients. It is minimally invasive, safe and eff ective. The evaluation of the treatment success may be more eff ectively done by the manometric perfusion test. It is easy, reliable, less time-consuming giving immediate results, and relatively safe.

show abstract

Percutaneous balloon dilatation for benign hepaticojejunostomy strictures

Abstract: Percutaneous balloon dilatation for benign hepaticojejunostomy strictures is feasible in the majority of patients and produces acceptable medium-term to long-term results. Advantages are its minimal invasive character and the fact that all options remain open in case of failure.

Cited by 59 publications

References 17 publications

Percutaneous intervention for bilioenteric anastomotic strictures: Current strategies and future directions

Percutaneous intervention for bilioenteric anastomotic strictures: Current strategies and future directions

Imaging and radiological interventions in extra-hepatic portal vein obstruction

Percutaneous Treatment of Benign Biliary Strictures and Biliary Manometric Perfusion Test

Contact Info

Product

Resources

About