Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
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Temporary Placement of Stent Grafts in Postsurgical Benign Biliary Strictures: a Single Center Experience

  • Vellody, Ranjith (Department of Radiology, Division of Interventional Radiology, University of Michigan) ;
  • Willatt, Jonathon M. (Department of Radiology, Division of Interventional Radiology, University of Michigan) ;
  • Arabi, Mohammad (Department of Radiology, Division of Interventional Radiology, University of Michigan) ;
  • Cwikiel, Wojciech B. (Department of Radiology, Division of Interventional Radiology, University of Michigan)
  • Published : 2011.12.01
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Abstract

Objective: To evaluate the effect of temporary stent graft placement in the treatment of benign anastomotic biliary strictures. Materials and Methods: Nine patients, five women and four men, 22-64 years old (mean, 47.5 years), with chronic benign biliary anastomotic strictures, refractory to repeated balloon dilations, were treated by prolonged, temporary placement of stent-grafts. Four patients had strictures following a liver transplantation; three of them in bilio-enteric anastomoses and one in a choledocho-choledochostomy. Four of the other five patients had strictures at bilio-enteric anastomoses, which developed after complications following laparoscopic cholecystectomies and in one after a Whipple procedure for duodenal carcinoma. In eight patients, balloon-expandable stent-grafts were placed and one patient was treated by insertion of a self-expanding stent-graft. Results: In the transplant group, treatment of patients with bilio-enteric anastomoses was unsuccessful (mean stent duration, 30 days). The patient treated for stenosis in the choledocho-choledochostomy responded well to consecutive self-expanding stent-graft placement (total placement duration, 112 days). All patients with bilio-enteric anastomoses in the non-transplant group were treated successfully with stent-grafts (mean placement duration, 37 days). Conclusion: Treatment of benign biliary strictures with temporary placement of stent-grafts has a positive effect, but is less successful in patients with strictures developed following a liver transplant.

Keywords

References

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