title: Benign biliary strictures: a proposed combined surgical and radiological management.
abstract: A combined surgical and radiological approach to the management of complex biliary strictures is described. Radiological access for stricture dilatation or stone extraction is created at the time of surgery either by insertion of a transhepatic U-tube or superficial fixation of the afferent limb of the Roux-en-Y loop. Each of seven patients treated in this way had multiple complicating factors known to adversely affect the outcome of operative repair. Five of the seven have had an excellent outcome at a median follow-up of 15 months (mean 21 months, range 2-39 months).
authors: Department of Diagnostic Radiology, Royal Postgraduate Medical School, Hammersmith Hospital, London, United Kingdom.
authors: R N
authors: RN
authors: Gibson
authors: A
authors: A
authors: Adam
authors: A
authors: A
authors: Czerniak
authors: A
authors: A
authors: Halevy
authors: N
authors: N
authors: Hadjis
authors: I S
authors: IS
authors: Benjamin
authors: D J
authors: DJ
authors: Allison
authors: L H
authors: LH
authors: Blumgart
mesh_terms: D000328:Adult; D000368:Aged; D000713:Anastomosis, Roux-en-Y; D002404:Catheterization; D002758:Cholangiography; D002769:Cholelithiasis / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy; D002779:Cholestasis / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy; D001651:Cholestasis, Extrahepatic / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy; D002780:Cholestasis, Intrahepatic / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence