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Percutaneous management of benign biliary strictures
1Russell Morgan Department of Radiology and Radiologic Sciences, The Johns Hopkins Medical Institutions, 600 North Wolfe St., Blalock 545, Baltimore, MD 21287, USA.
Techniques in Vascular and Interventional Radiology
|December 19, 2001
Summary
Interventional radiologists increasingly manage benign biliary strictures using percutaneous techniques. This review covers cholangiography, drainage, dilation, and catheter management for improved patient outcomes.
Area of Science:
- Interventional Radiology
- Gastroenterology
- Hepatobiliary Surgery
Background:
- Benign biliary strictures require effective management strategies.
- Interventional radiology offers minimally invasive options for biliary disease.
Purpose of the Study:
- To summarize percutaneous techniques for managing benign biliary strictures.
- To review current interventional radiology approaches for biliary interventions.
Main Methods:
- Percutaneous transhepatic cholangiography and biliary drainage.
- Anatomic and technical considerations for percutaneous approaches.
- Percutaneous dilation of biliary strictures and chronic catheter management.
Main Results:
- Detailed review of percutaneous transhepatic cholangiography and biliary drainage techniques.
- Discussion of percutaneous dilation efficacy for strictures.
- Management protocols for indwelling biliary drainage catheters outlined.
Conclusions:
- Percutaneous methods are integral to managing benign biliary strictures.
- Interventional radiology provides comprehensive solutions for biliary drainage and stricture dilation.
- Catheter management and removal decisions are guided by clinical and physiological parameters.