[Percutaneous treatment of symptomatic massive bile ducts stones after previous surgery with biliodigestive anastomosis -- report of three cases].
OBJECTIVE
Presentation of our own experience with percutaneous treatment of symptomatic bile-duct stones like late complication in patients with biliodigestive anastomosis.


METHODS
Three symptomatic female patients with biliodigestive anastomosis and acutely symptomatic with proven bile-duct stones above anastomosis were treated with initial percutaneous transhepatic drainage and later via percutaneous route using of endoscopic lithotryptor with special technique.


RESULTS
All procedures were successful without complication, the patients are free of biliary symptoms in the long term.


CONCLUSIONS
Percutaneous removal of bile-duct stones in patients with biliodigestive anastomosis is safe and effective method which can be used as an alternative to surgery.
Základna Radiodiagnostiky a Intervencní Radiologie, Institut Klinické a Experimentální Medicíny, Praha. janousekradim@seznam.cz
R
R
Janousek
T
T
Danek
P
P
Vyhnálek
J
J
Hájek
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D001662:Biliary Tract Surgical Procedures; D002760:Cholangiopancreatography, Endoscopic Retrograde; D004322:Drainage; D005260:Female; D042882:Gallstones / Q000628:therapy*; D006801:Humans; D007422:Intestines / Q000601:surgery; D008096:Lithotripsy; D008875:Middle Aged