NDLI: Percutaneous Transhepatic Balloon Dilatation of Benign Biliary Strictures

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Percutaneous Transhepatic Balloon Dilatation of Benign Biliary Strictures

Content Provider	PubMed Central
Author	Trambert, Jonathan J. Bron, Klaus M. Zajko, Albert B. Starzl, Thomas E. Iwatsuki, Shunzaburo
Abstract	Between February 1981 and June 1984, 15 patients with benign biliary strictures were treated with percutaneous transhepatic balloon dilatation. Three of these patients had received liver transplants. The treatment began with a course of balloon dilatation therapy, after which a stent catheter was left across the stricture. Six weeks later, after duct patency had been shown by cholangiography, the stent catheter was removed from all but two patients, both of whom had intrahepatic sclerosing cholangitis. After this procedure, six patients (40%), including two liver-transplant patients, were stricture-free after one treatment for periods ranging from 27 to 56 months, and were considered to be treatment successes. Nine patients (60%) suffered stricture recurrences. In eight of these patients, the stricture was heralded by symptoms of either cholangitis or jaundice; in one patient, who was on permanent catheter drainage, the stricture was discovered only on follow-up cholangiography. All successfully treated patients had only one stricture, while all patients with more than one stricture suffered recurrences. Our data also suggest a greater responsiveness for anastomotic strictures than for nonanastomotic strictures. Of the patients with recurrences, five had symptom-free intervals of 23 months or more (up to 31 months). The fact that strictures recurred after such long periods of time underscores the importance of long-term follow-up.
Related Links	http://dx.doi.org/10.2214/ajr.149.5.945
Ending Page	948
Page Count	4
Starting Page	945
File Format	PDF
ISSN	0361803X
e-ISSN	15463141
Journal	AJR. American journal of roentgenology
Issue Number	5
Volume Number	149
Language	English
Publisher Date	1987-11-01
Access Restriction	Open
Subject Keyword	Radiology Nuclear Medicine and imaging Research in Higher Education
Content Type	Text
Resource Type	Article
Subject	Radiology, Nuclear Medicine and Imaging

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