[Yamakawa prosthesis with prolonged placement as a therapy concept exemplified by benign biliary stricture].
OBJECTIVE
As an alternative method to the operative revision of benign bile duct strictures, we report the use of a large-bore bile duct prosthesis (Yamakawa prosthesis) in one patient.


METHODS
Bilateral percutaneous transhepatic implantation of Yamakawa prostheses (14 F right side, 12 F left side) was performed without adjunctive balloon dilatation. The prostheses were exchanged every 8 weeks under continuous antibiotic treatment and were finally removed after 8 months.


RESULTS
Control cholangiography showed a normal intrahepatic biliary system on the right side and a 50% stenosis at the orifice of the left hepatic duct. Follow-up over 18 months showed no signs of recurrent disease.


CONCLUSIONS
In comparison to balloon dilatation and implantation of metallic stents, prolonged bilateral splinting with large-bore Yamakawa prostheses seems to be an alternative for the treatment of benign bile duct strictures.
Duda
S H
SH
Abteilung für Radiologische Diagnostik, Eberhard-Karls-Universität Tübingen.
Kalinowski
M
M
Gottwald
T
T
Huppert
P E
PE
Pereira
P
P
Claussen
C D
CD
D000328:Adult; D000714:Anastomosis, Surgical; D002758:Cholangiography; D017081:Cholecystectomy, Laparoscopic; D002780:Cholestasis, Intrahepatic / Q000000981:diagnostic imaging / Q000628:therapy*; D005500:Follow-Up Studies; D006500:Hepatic Duct, Common / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007582:Jejunostomy; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy; D019919:Prosthesis Implantation