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[Endoscopic treatment of postcholecystectomy biliary strictures]
Juan C Barbella1, Diego L Dip, J Ignacio Pitaco
1Hospital Naval de Buenos Aires, Argentina.
Introduction:
Biliary strictures are a serious complication of biliary surgery. Historically, surgery was the treatment of choice. Then appeared the endoscopic treatment with results comparable with those achieved by the surgery.
Material And Methods:
Twenty-two patients underwent endoscopic treatment for postcholecystectomy benign biliary stricture between 1990 and 2006. After pneumatic dilation with ballons, stents were inserted. Stents were exchanged between 3 and 8 months and ultimately removed from all patients at 12 months.
Results:
Endoscopic treatment was successful in 16 cases (72%): in 14 was excellent (63%), in 2 good (10%) and in 6 bad (27%). These cases required surgery. Early complications were cholangitis in 2 cases and pancreatitis in 3; late complications developed in 3 cases, with 2 o more cholangitis episodes. There was no mortality.
Conclusions:
Endoscopic treatment of biliary strictures with dilation and stent insertion was successful in 72% of the 22 cases in our series, with low morbility and no mortality.
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