Long-term outcome of percutaneous transhepatic therapy for benign bilioenteric anastomotic strictures

Journal of Vascular and Interventional Radiology : JVIR
Ludivine GlasF Pilleul

Abstract

To evaluate the long-term outcomes of a percutaneous transhepatic approach in benign bilioenteric anastomoses with calibration of the stenosis to 15 F and extended internal/external drainage. Between February 2000 and May 2007, the efficacy of this percutaneous transhepatic procedure was retrospectively studied in 39 patients with benign postoperative bilioenteric anastomotic strictures. The main purpose of the protocol was to repair the anastomosis by calibration of the stenosis to 15 F with a silicone drain and perform internal/external drainage for at least 1 year. The follow-up period ranged from 12 to 65 months (mean, 34.4 months), and outcomes were classified according to the patient's clinical symptoms and laboratory parameters and the need for further interventions. The procedure was successful in 38 of 39 patients. Four patients were lost to follow-up during or after drainage. The duration of drainage (41 internal catheters in 34 patients) ranged from 126 days to 488 days (mean, 346 d). Twenty-seven patients had positive outcomes during the mean follow-up of 34 months, and six patients had negative outcomes. The bile duct patency probability according to the Kaplan-Meier method was and 70.6% at 34 months after drain re...Continue Reading

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Citations

Nov 29, 2015·Techniques in Vascular and Interventional Radiology·Nicholas Fidelman
Apr 22, 2015·Journal of Vascular and Interventional Radiology : JVIR·Daniel M DePietroScott O Trerotola
Oct 4, 2014·Langenbeck's Archives of Surgery·Christopher PrawdzikTorsten Herzog
Nov 2, 2011·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Ranjith VellodyWojciech B Cwikiel
Jun 15, 2016·Khirurgiia·O I OkhotnikovS N Grigoriev
Dec 13, 2017·AJR. American Journal of Roentgenology·Will S LindquesterGail L Peters
Aug 17, 2021·Seminars in Interventional Radiology·Adam FangHyun S Kim

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