+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Percutaneous management of resistant biliary-enteric anastomotic strictures with the use of a combined cutting and conventional balloon cholangioplasty protocol: a single-center experience



Percutaneous management of resistant biliary-enteric anastomotic strictures with the use of a combined cutting and conventional balloon cholangioplasty protocol: a single-center experience



Journal of Vascular and Interventional Radiology 26(4): 560-565



To evaluate the safety and technical efficacy of percutaneous transhepatic dilation of resistant biliary-enteric anastomotic strictures using a combination of cutting and conventional balloons and evaluate midterm results. A retrospective review of patients with biliary-enteric anastomotic strictures treated with percutaneous transhepatic cutting balloon dilation was performed. Cutting balloon dilation was followed by dilation with the use of a conventional balloon with a diameter larger than that of the cutting balloon. Technical success was defined by the composite criteria of fluent passage of manually injected contrast medium through the anastomoses into the small bowel and absence of bile duct dilatation compared with the cholangiogram obtained before the procedure. Clinical and laboratory parameters, including serum bilirubin, alkaline phosphatase, and total leukocyte counts, were monitored in all patients at regular intervals after a technically successful procedure. Between January 2012 and September 2013, eight patients (three men and five women) with a mean age of 50 years (range, 32-75 y) underwent 11 sessions of combined cutting and conventional balloon cholangioplasty. The procedure was technically successful in all patients. There were no major complications during the procedure. During the follow-up period (mean, 14 mo; range, 8-24 mo), all patients remained free of any biliary obstructive symptoms and had normal laboratory parameters with the absence of biliary dilatation on ultrasound examinations. Cutting balloon dilation is a safe adjunctive option for the treatment of biliary-enteric anastomotic strictures resistant to conventional balloon dilation with acceptable midterm patency rates.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 058526135

Download citation: RISBibTeXText

PMID: 25666628

DOI: 10.1016/j.jvir.2014.12.011


Related references

Transhepatic dilation of anastomotic biliary strictures in liver transplant recipients with use of a combined cutting and conventional balloon protocol: technical safety and efficacy. Journal of Vascular and Interventional Radiology 17(5): 837-843, 2006

Long-term follow-up of percutaneous transhepatic balloon cholangioplasty in the management of biliary strictures after liver transplantation. Transplantation 77(1): 110-115, 2004

Percutaneous transhepatic balloon dilation of biliary-enteric anastomotic strictures after surgical repair of iatrogenic bile duct injuries. Plos One 7(10): E46478-E46478, 2013

Percutaneous Management of Biliary Enteric Anastomotic Strictures: An Institutional Review. Cureus 10(2): E2228-E2228, 2018

Percutaneous Biliary Balloon Dilation: Impact of an Institutional Three-Session Protocol on Patients with Benign Anastomotic Strictures of Hepatojejunostomy. Digestive Surgery, 2017

Use of peripheral cutting balloon in the management of resistant benign ureteral and biliary strictures. Journal of Vascular and Interventional Radiology 16(2 Pt 1): 241-245, 2005

Balloon dilatation of benign postsurgical biliary-enteric anastomotic strictures. Gastrointestinal Radiology 7(4): 307-310, 1982

Role of MRCP in Diagnosing Biliary Anastomotic Strictures After Liver Transplantation: A Single Tertiary Care Center Experience. Transplantation Direct 4(5): E347-E347, 2018

Peripheral cutting balloon in the management of resistant benign ureteral and biliary strictures: long-term results. Diagnostic and Interventional Radiology 13(1): 39-41, 2007

Benign biliary strictures: treatment with percutaneous cholangioplasty. Radiology 178(2): 339-341, 1991

Percutaneous balloon dilatation and long-term drainage as treatment of anastomotic and nonanastomotic benign biliary strictures. Cardiovascular and Interventional Radiology 37(6): 1559-1567, 2015

Benign anastomotic biliary strictures untreatable by ERCP: a novel percutaneous balloon dilatation technique avoiding indwelling catheters. European Radiology, 2018

Percutaneous Transhepatic Cholangioplasty to Treat Multiple Intrahepatic Biliary Strictures After Hepatoportoenterostomy. Journal of Pediatric Gastroenterology & Nutrition 64(2): 200-202, 2017

Percutaneous Transhepatic Cholangioplasty to Treat Multiple Intrahepatic Biliary Strictures After Hepatoportoenterostomy. Journal of Pediatric Gastroenterology and Nutrition (): -, 2016

Percutaneous management of postoperative anastomotic biliary strictures. Techniques in Vascular and Interventional Radiology 11(2): 143-153, 2008