title: [Percutaneous treatment of benign biliary stenosis: bilioplasty and stenting].
abstract: We reviewed our personal experience in 46 patients with biliary strictures, who underwent percutaneous balloon dilatation between 1983 and 1988. The strictures were iatrogenic in 24% of the cases, anastomotic in 52%, inflammatory in 17%, and associated with sclerosing cholangitis in 7%. The treatment consisted in dilating the bile ducts with balloon catheters of different kinds and sizes ("bilioplasty") and placing an internal drainage catheter for a varying period of time ("stenting"). In 22 patients the catheter was removed after an average time of 7.7 months. The rate of stricture recurrence was 13.5% (average follow-up: 20 months). In the remaining 24 patients the stents are still in situ, waiting for removing. Major complication rate was 6.4% (2 pleural effusions and 1 hepatic artery bleeding). We also report our initial experience with metallic self-expanding stents which appear as a promising tool in the management of recurring strictures.
authors.affiliation: Cattedra di Radiologia Generale e Speciale Odontostomatologica, Università, Milano.
authors.forename: P
authors.initials: P
authors.lastname: Rossi
authors.forename: F M
authors.initials: FM
authors.lastname: Salvatori
authors.forename: F
authors.initials: F
authors.lastname: Maccioni
authors.forename: P
authors.initials: P
authors.lastname: Santoro
authors.forename: R
authors.initials: R
authors.lastname: Gandini
authors.forename: A
authors.initials: A
authors.lastname: Maradei
authors.forename: A
authors.initials: A
authors.lastname: Martinucci
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001649:Bile Duct Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D002404:Catheterization; D002758:Cholangiography; D015209:Cholangitis, Sclerosing / Q000628:therapy; D002763:Cholecystectomy / Q000009:adverse effects; D003251:Constriction, Pathologic; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000628:therapy; D012008:Recurrence; D015607:Stents
vernacular_title: Trattamento percutaneo delle stenosi biliari benigne: bilioplastica e stenting.