Transhepatic Percutaneous Sustained Dilation with Multiple Catheters for the Management of Hepaticojejunostomy Benign Stricture

2020 ◽  
Vol 30 (9) ◽  
pp. 948-952
Author(s):  
David Alvear Castro ◽  
Danny Gómez Rodríguez ◽  
Eduardo Houghton ◽  
Mauricio Pasten ◽  
Caetano Finger López ◽  
...  
Keyword(s):  
1997 ◽  
Vol 37 (4) ◽  
pp. 665
Author(s):  
Guk Myeong Choi ◽  
Joon Koo Han ◽  
Tae Kyoung Kim ◽  
Byung Ihn Choi ◽  
Sun Whe Kim ◽  
...  

1927 ◽  
Vol 86 (2) ◽  
pp. 296-303 ◽  
Author(s):  
Robert T. Miller
Keyword(s):  

2012 ◽  
Vol 140 (11-12) ◽  
pp. 772-776
Author(s):  
Radoje Colovic ◽  
Nikica Grubor ◽  
Marko Kaitovic ◽  
Stojan Latincic ◽  
Natasa Colovic

Introduction. Biliobronchial fistula is rare. Very rarely it may be congenital, more frequently it is acquired as a complication of the hydatide cyst of the liver, pyogenic abscess, serious trauma and resection of the liver as well as recurrent cholangitis due to benign bile duct stricture or cholangiolithiasis. The main causes of the biliobronchial fistula are billiary obstruction and infectious lesion (abscess) in the liver. Case Outline. We present a 56-year-old man with benign stricture of the hepaticojejunostomy performed after operative common bile duct injury, who developed biliobronchial fistula following repeated percutaneous drainage of the liver abscess and percutaneous dilatation of the strictured anastomosis. Over the years the patient developed atrophy/hypertrophy complex, portal hypertension, grade II esophageal varicosities, ascites and splenomegaly. Although biliobronchial fistula was solved by a successful surgical reconstruction (new wide hepaticojejunostomy), the operation had a limited value as it was performed late after permanent lesions of the liver and intrahepatic bile ducts had already developed. Conclusion. Surgical reconstruction of strictured biliodigestive anastomosis should be considered on time as a possibly better solution than percutaneous dilatation. According to the authors? knowledge, a similar case of biliobronchial fistula as a complication of percutaneous dilatation of the benign biliary stricture has not been reported before in the literature.


1973 ◽  
Vol 82 (6) ◽  
pp. 805-808
Author(s):  
John T. Howard

An elderly lady with arteriosclerotic cardiovascular disease had had dysphagia intermittently for five years before she came under treatment for a benign esophageal stricture which was associated with an hiatal hernia. When her condition became refractory to bouginage and to the passage of beads over a previously swallowed thread, an attempt was made “to soften” the hard fibrous stricture by injecting triamcinolone mixed with hyaluronidase into it. The obstructing fibrous tissue was not softened immediately after the injection of these drugs. Four days later, with the hope that the steroid had “softened” the fibrous stricture, the patient swallowed a thread preliminary to the passage of dilating beads over it. She retired with the thread in place. During the night she was heard to cough and she was found to be dead five minutes later. At necropsy an hiatal hernia with a benign stricture of the lower esophagus was found. Needle tracts were seen in the stricture and deposits of injected material could be seen in the tissues; one tract went through the esophageal wall and there was minor mediastinitis with abscess formation. However, when the stomach and esophagus were distended with a solution of formalin under pressure, no leak could be found. A small thromboembolus in the lower lobe of the right lung might have caused the patient's death.


2020 ◽  
pp. 2828-2848
Author(s):  
Rebecca C. Fitzgerald ◽  
Massimiliano di Pietro

Defective conduit function of the oesophagus readily induces clinical symptoms and may have serious effects on nutrition and the lungs, the latter resulting from aspiration of gastro-oesophageal contents. Oesophageal pain and dysphagia caused by diseases of the muscular layer or epithelium are often disabling. The oesophagus is exposed to numerous hostile environments including carcinogens in food or those derived from tobacco, betel nuts, and other ingested sources and hence carcinomas can occur. Chronic reflux disease from exposure to corrosive upper gastrointestinal secretions is also associated with malignant disease—adenocarcinoma—as well as benign stricture formation related to the action of pepsin.


Surgery Today ◽  
1994 ◽  
Vol 24 (10) ◽  
pp. 876-881 ◽  
Author(s):  
Narihide Goseki ◽  
Susumu Takamatsu ◽  
Shoichi Kato ◽  
Yasuyuki Dobashi ◽  
Yuzuru Hara ◽  
...  

2007 ◽  
Vol 133 (2) ◽  
pp. 581-582 ◽  
Author(s):  
Enoch Akowuah ◽  
Manfred Junemann-Ramirez ◽  
Odunayo Kalejayie ◽  
Joseph Rahamim

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