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
Radiologyjournal_title
Radiologyauthors
Rossi P,Bezzi M,Salvatori FM,Maccioni F,Porcaro MLdoi
10.1148/radiology.175.3.2343110subject
Has Abstractpub_date
1990-06-01 00:00:00pages
661-5issue
3eissn
0033-8419issn
1527-1315journal_volume
175pub_type
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