Metallic stents in benign biliary strictures: Three-year follow-up

1992 ◽  
Vol 15 (6) ◽  
pp. 360-366 ◽  
Author(s):  
Francesca Maccioni ◽  
Michele Rossi ◽  
Filippo Maria Salvatori ◽  
Paolo Ricci ◽  
Mario Bezzi ◽  
...  
Keyword(s):  
Metallic Stents ◽  
Biliary Strictures ◽  
Benign Biliary Strictures

scholarly journals Cholangioscopy-guided steroid injection for refractory post liver transplant anastomotic strictures: a rescue case series

2019 ◽  
Vol 12 ◽  
pp. 263177451986778 ◽  
Author(s):  
Tomazo Franzini ◽  
Vitor M.T. Sagae ◽  
Hugo G. Guedes ◽  
Paulo Sakai ◽  
Daniel R. Waisberg ◽  
...  
Keyword(s):  
Liver Transplant ◽  
Steroid Injection ◽  
Revisional Surgery ◽  
Balloon Dilation ◽  
Metallic Stents ◽  
Plastic Stents ◽  
Biliary Strictures ◽  
Anastomotic Strictures ◽  
Expandable Metallic Stents

Background and aims: Post liver transplant biliary anastomotic strictures have traditionally been treated with balloon dilation and multiple plastic stents. Fully covered self-expandable metallic stents may be used as an initial alternative or after multiple plastic stents failure. Refractory strictures can occur in 10–22% and require revisional surgery. Alternatively, cholangioscopy allows direct visualization and therapeutic approaches. We aimed to assess the feasibility, safety, and efficacy of balloon dilation combined with cholangioscopy-guided steroid injection for the treatment of refractory anastomotic biliary strictures. Methods: Three post-orthotopic liver transplant patients who failed standard treatment of their biliary anastomotic strictures underwent endoscopic retrograde cholangiopancreatography with balloon dilation followed by cholangioscopy-guided steroid injection at a tertiary care center. Patients had follow-up with images and laboratorial tests to evaluate for residual stricture. Results: Technical success of balloon dilation + cholangioscopy-guided steroid injection was achieved in all patients. Cholangioscopy permitted accurate evaluation of bile ducts and precise localization for steroid injection. No adverse events occurred. Mean follow-up was 26 months. Two patients are stent free and remain well in follow-up, with no signs of biliary obstruction. No further therapeutic endoscopic procedures or revisional surgery were required. One patient did not respond to balloon dilation + cholangioscopy-guided steroid injection after 11 months of follow-up and required repeat balloon dilation of new strictures above the anastomosis. Conclusion: Cholangioscopy-guided steroid injection combined with balloon dilation in the treatment of refractory post liver transplant strictures is feasible and safe. This method may be used as a rescue alternative before surgical approach. Randomized controlled trials comparing balloon dilation + cholangioscopy-guided steroid injection to fully covered self-expandable metallic stents are needed to determine the role of this treatment for anastomotic biliary strictures.

Percutaneous management of benign biliary strictures with balloon dilation and self-expanding metallic stents

1990 ◽  
Vol 13 (4) ◽  
pp. 231-239 ◽  
Author(s):  
Plinio Rossi ◽  
Filippo M. Salvatori ◽  
Mario Bezzi ◽  
Francesca Maccioni ◽  
Mario L. Porcaro ◽  
...  
Keyword(s):  
Balloon Dilation ◽  
Metallic Stents ◽  
Biliary Strictures ◽  
Benign Biliary Strictures

scholarly journals 4:12 PM Abstract No. 169 Medium- and long-term follow-up of benign biliary strictures treated with biodegradable stent

2018 ◽  
Vol 29 (4) ◽  
pp. S74-S75
Author(s):  
J. Guirola Ortiz ◽  
S. Wong Kant ◽  
M. Sanchez Ballestin ◽  
J. Bosch Melguizo ◽  
C. Serrano Casorran ◽  
...  
Keyword(s):  
Biliary Strictures ◽  
Biodegradable Stent ◽  
Benign Biliary Strictures ◽  
Long Term Follow Up

Su1429 A Fully Covered Self-Expandable Metal Stent, Niti-S, for Benign Biliary Strictures: a Prospective Multi-Center Follow-up Study

2013 ◽  
Vol 77 (5) ◽  
pp. AB320
Author(s):  
Daisy Walter ◽  
Wim Laleman ◽  
Jeroen M. Jansen ◽  
Alexander W. Van Milligen De Wit ◽  
Bas L. Weusten ◽  
...  
Keyword(s):  
Metal Stent ◽  
Biliary Strictures ◽  
Follow Up Study ◽  
Benign Biliary Strictures ◽  
Self Expandable Metal Stent

Metallic Stents in Benign Biliary Strictures

2001 ◽  
Vol 177 (4) ◽  
pp. 813-817 ◽  
Author(s):  
Andreas Gabelmann ◽  
Homayun Hamid ◽  
Hans-Jürgen Brambs ◽  
Andrea Rieber
Keyword(s):  
Metallic Stents ◽  
Biliary Strictures ◽  
Benign Biliary Strictures

scholarly journals The evolving superiority of covered metallic stents for benign biliary strictures

2017 ◽  
Vol 6 (1) ◽  
pp. 63-64
Author(s):  
Ming-Ming Xu ◽  
Elizabeth Brown ◽  
Amy Tyberg ◽  
Michel Kahaleh
Keyword(s):  
Metallic Stents ◽  
Biliary Strictures ◽  
Benign Biliary Strictures ◽  
Covered Metallic Stents

Recurrent benign biliary strictures: management with self-expanding metallic stents.

Radiology ◽  
1990 ◽  
Vol 175 (3) ◽  
pp. 661-665 ◽  
Author(s):  
P Rossi ◽  
M Bezzi ◽  
F M Salvatori ◽  
F Maccioni ◽  
M L Porcaro
Keyword(s):  
Metallic Stents ◽  
Biliary Strictures ◽  
Benign Biliary Strictures
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