-Bile duct stenoses and leakage after cholecystectomy: endoscopic diagnosis, therapy and treatment outcome-.
Minimal invasive methods compete with surgical treatment in the therapy of complications after cholecystectomy. In this retrospective study we evaluate the efficacy of endoscopically placed biliary stents in 35 patients (25 female, ten male) with biliary strictures and/or leakage after cholecystectomy. 27 patients received a 10- or 11.5-French endoprosthesis, eight patients needed a percutaneous-transhepatic-cholangio-drainage (PTCD). Four patients (11.4%) underwent a surgical therapy. Endoscopic therapy was successfully completed in 23 patients (65.7%), at which we noticed a superior result in patients with early incidenced stenosis/leakages after cholecstectomy. During a follow-up period of 1-109 months (median 28 months) two recurrent strictures (5.7%) were observed. As a complication we have seen a prosthesis-dislocation after PTCD. None of the patients died of complications related to endoscopic therapy.
Krömer
M U
MU
Med. Klinik C, Klinikum der Stadt gGmbH, Ludwigshafen.
Maier
M
M
Benz
C A
CA
Martin
W R
WR
Adamek
H E
HE
Kohler
B
B
Riemann
J F
JF
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001658:Biliary Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000295:instrumentation*; D002763:Cholecystectomy; D001651:Cholestasis, Extrahepatic / Q000000981:diagnostic imaging / Q000628:therapy*; D004322:Drainage / Q000295:instrumentation*; D005260:Female; D005500:Follow-Up Studies; D042882:Gallstones / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D017562:Postcholecystectomy Syndrome / Q000000981:diagnostic imaging / Q000628:therapy*; D012189:Retrospective Studies; D015607:Stents; D016896:Treatment Outcome
Gallengangsstenosen und -lecks nach Cholezystektomie: Endoskopische Diagnostik, Therapie und Behandlungserfolg.