Interventional radiology in treatment of biliodigestive anastomoses strictures

Okhotnikov O.I.; Yakovleva M.V.; Grigoriev S.N.

doi:https://doi.org/10.17116/hirurgia2016637-42

Okhotnikov O.I.

Chair of Surgical Diseases of the Faculty of Postgraduate Education, Kursk State Medical University of Health Ministry of the Russian Federation, Kursk, Kursk Regional Hospital, Kursk, Russia

Yakovleva M.V.

Petrovsky Russian Research Center of Surgery, Moscow, Russia

Grigoriev S.N.

Chair of Surgical Diseases of the Faculty of Postgraduate Education, Kursk State Medical University of Health Ministry of the Russian Federation, Kursk, Kursk Regional Hospital, Kursk, Russia

Interventional radiology in treatment of biliodigestive anastomoses strictures

Authors:

Okhotnikov O.I., Yakovleva M.V., Grigoriev S.N.

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Journal: Pirogov Russian Journal of Surgery. 2016;(6): 37‑42

DOI: 10.17116/hirurgia2016637-42

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To cite this article:

Okhotnikov OI, Yakovleva MV, Grigoriev SN. Interventional radiology in treatment of biliodigestive anastomoses strictures. Pirogov Russian Journal of Surgery. 2016;(6):37‑42. (In Russ.)
https://doi.org/10.17116/hirurgia2016637-42

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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Abstract:

Aim. To analyze efficacy of interventional methods via antegrade transhepatic approach in treatment of patients with strictures of biliodigestive anastomoses. Material and methods. 24 patients aged 47.2 years were treated for the period 2002-2015. Average time from extrahepatic biliary reconstruction using transhepatic stented tubes to strictures appearance varied from 9 months to 12 years. One- and double-sided percutaneous transhepatic cholangiostomy was performed to abort biliary hypertension. Stricture recanalization was achieved using «catheter-wire» system. Antegrade dilatation of stricture was made using balloon catheter 8 mm and pressure up to 6 atm and stage exposition up to 10 minutes. Balloon repair of anastomosis was supplemented by stented outer-inner drainage of the area of stricture. Results. Restoration of patency of stricture area using antegrade interventional methods was effective in 22 patients. Recurrent stricture occurred in 2 cases within 1.5 years that required repeated biliary reconstruction including antegrade extraction of blocked uncovered stent in 1 patient. There were no major postoperative complications and deaths. Maximal recurrence-free follow-up after stent installation was 11 years.

Keywords:

biliodigestive anastomoses strictures

stented tabes

antegrade transhepatic approach

Authors:

Okhotnikov O.I.

Chair of Surgical Diseases of the Faculty of Postgraduate Education, Kursk State Medical University of Health Ministry of the Russian Federation, Kursk, Kursk Regional Hospital, Kursk, Russia

Yakovleva M.V.

Petrovsky Russian Research Center of Surgery, Moscow, Russia

Grigoriev S.N.

Chair of Surgical Diseases of the Faculty of Postgraduate Education, Kursk State Medical University of Health Ministry of the Russian Federation, Kursk, Kursk Regional Hospital, Kursk, Russia

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References:

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