Recurrent benign biliary strictures: management with self-expanding metallic stents.

Abstract:

:Self-expanding metallic stents of a modified Gianturco design were used to treat benign strictures of the biliary tree in 17 patients. Thirteen patients had undergone several unsuccessful surgical repairs, and four had not undergone surgery because of their clinical status. All patients had already undergone multiple percutaneous balloon dilations without success. Stents were placed percutaneously, through a transhepatic approach, without complications. Adequate caliber of the strictured segment, stable relief of symptoms, and normalization of liver function tests were achieved in 14 patients (82.4%). Partial primary success was obtained in one patient; initial success was achieved in two patients, but strictures recurred after 5 months. The average follow-up period was 8 months. Results suggest that placement of these stents might represent a permanent therapeutic solution for intractable recurrences. Extended follow-up and experimental studies to clarify long-term patency and biotolerance are needed.

journal_name

Radiology

journal_title

Radiology

authors

Rossi P,Bezzi M,Salvatori FM,Maccioni F,Porcaro ML

doi

10.1148/radiology.175.3.2343110

subject

Has Abstract

pub_date

1990-06-01 00:00:00

pages

661-5

issue

3

eissn

0033-8419

issn

1527-1315

journal_volume

175

pub_type

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