Biliary stricture dilatation: multicenter review of clinical management in 73 patients

Eighty-nine biliary strictures in 73 patients who had undergone percutaneous balloon dilatation were reviewed to determine long-term patency rates and clinical management problems. The majority of dilatations were performed in patients with anastomotic strictures (n = 44), iatrogenic strictures (n =...

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Published inRadiology Vol. 160; no. 1; p. 17
Main Authors Mueller, P R, vanSonnenberg, E, Ferrucci, Jr, J T, Weyman, P J, Butch, R J, Malt, R A, Burhenne, H J
Format Journal Article
LanguageEnglish
Published United States 01.07.1986
Subjects
Bile Duct Diseases - diagnostic imaging
Bile Duct Diseases - etiology
Bile Duct Diseases - therapy
Catheterization - methods
Cholangitis - complications
Constriction, Pathologic - diagnostic imaging
Constriction, Pathologic - etiology
Constriction, Pathologic - therapy
Dilatation - methods
Female
Humans
Middle Aged
Postoperative Complications - therapy
Radiography
Retrospective Studies
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Summary:Eighty-nine biliary strictures in 73 patients who had undergone percutaneous balloon dilatation were reviewed to determine long-term patency rates and clinical management problems. The majority of dilatations were performed in patients with anastomotic strictures (n = 44), iatrogenic strictures (n = 28), and strictures associated with sclerosing cholangitis (n = 17). Patency rates after 36 months or more were 67%, 76%, and 42%, respectively. Complications, mostly minor, occurred in less than 7% of patients. Of patients with significant biliary obstruction, 15% had little or no intrahepatic biliary duct dilatation demonstrated by cross-sectional imaging and/or direct cholangiography. No definite conclusions could be drawn about the utility of long-term internal/external stenting.
ISSN:0033-8419
DOI:10.1148/radiology.160.1.3715030