Balloon dilatation of biliary strictures: experience and review of the literature.
Patients who develop strictures after repeated biliary surgery are a complex management problem. Reoperation in these patients, who may also have cirrhosis, portal hypertension and non-dilated ducts, is hazardous even in experienced centres. The new technique of percutaneous balloon dilatation has been used increasingly in such cases. A review of the literature and the experience with this technique in five patients with recurrent biliary strictures is presented. Its use is recommended in patients who present with recurrent problems when a previous biliary-intestinal anastomosis has failed as well as in those who develop stricture following multiple procedures involving the biliary system.
Gya
D
D
University Department of Surgery, Repatriation General Hospital, Heidelberg, Vic., Australia.
Sali
A
A
Hennessy
O
O
Kune
G A
GA
D001649:Bile Duct Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D002404:Catheterization / Q000295:instrumentation / Q000379:methods* / Q000592:standards; D002758:Cholangiography; D002763:Cholecystectomy / Q000009:adverse effects*; D004322:Drainage; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D000267:Tissue Adhesions