[Therapeutic interventions in benign bile duct strictures].
Surgical treatment of benign bile duct strictures continues to be associated with significant lethality. Thus, radiological interventions become increasingly important. A total of 32 patients were treated. Their bile duct strictures had different origins. We performed percutaneous transhepatic cholangiographies in 32 patients, cholangioscopies in 7, and biopsies in 2 patients. Therapeutic interventions included percutaneous transhepatic drainages in 30 patients, laser lithotripsies in 5, and dilatations in 8 patients. As a total, 36 stents (mostly Palmaz stents) were implanted in 27 patients. Acuflex stents were implanted in 2 of these patients and were extracted after successful clearance of the bile ducts following stone fragmentation. No severe complications were observed. Five out of 8 dilatations were unsuccessful, so that stents were implanted. Five patients died. Three stent occlusions and 1 spontaneous stent migration occurred after an average of 29 months; the latter could be treated by means of radiological procedures. The remaining patients are living symptom-free, on average, since 18.6 months.
Rieber
A
A
Abteilung für Röntgendiagnostik, Radiologische Universitätsklinik Ulm, Deutschland.
Görich
J
J
Friedrich
J M
JM
Vogel
J
J
Brambs
H J
HJ
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002758:Cholangiography / Q000295:instrumentation; D001651:Cholestasis, Extrahepatic / Q000000981:diagnostic imaging / Q000401:mortality / Q000628:therapy*; D019723:Endoscopes; D005260:Female; D042882:Gallstones / Q000000981:diagnostic imaging / Q000401:mortality / Q000628:therapy; D006801:Humans; D017602:Lithotripsy, Laser / Q000295:instrumentation; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000401:mortality / Q000628:therapy; D015607:Stents; D015996:Survival Rate
Therapeutische Interventionen bei benignen Gallengangsstrikturen.