Related Experiment Videos
Percutaneous balloon dilatation for benign hepaticojejunostomy strictures.
P M Vos1, E J van Beek, N J Smits
1Department of Radiology, Academic Medical Center, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.
Abdominal Imaging
|February 17, 2000
Summary
Percutaneous balloon dilatation is a safe and effective treatment for benign hepaticojejunostomy strictures, offering good long-term results. This minimally invasive procedure has a high success rate and preserves future treatment options.
Area of Science:
- Gastroenterology
- Interventional Radiology
- Biliary Interventions
Background:
- Percutaneous balloon dilatation for biliary strictures is established but its efficacy in specific patient groups is debated.
- Hepaticojejunostomy strictures are a common complication requiring effective treatment.
Purpose of the Study:
- To assess the outcomes of percutaneous balloon dilatation for benign hepaticojejunostomy strictures.
Main Methods:
- Ultrasound-guided percutaneous transhepatic cholangiography (PTC) followed by balloon dilatation was performed in 15 patients.
- Prospective follow-up included outpatient visits and laboratory testing.
Main Results:
- Successful dilatation was achieved in 14 out of 15 patients (93%).
- The overall success rate was 73% at a mean follow-up of 30 months, increasing to 80% after repeat procedures.
- Complications included gastrointestinal bleeding in one patient and recurrence in three patients.
Conclusions:
- Percutaneous balloon dilatation is a feasible and effective treatment for benign hepaticojejunostomy strictures, yielding acceptable medium- to long-term outcomes.
- The procedure is minimally invasive and preserves other therapeutic options if initial treatment fails.