Balloon dilatation of biliary strictures through a choledochojejuno-cutaneous fistula

• Published in: Annals of surgery Vol. 199; no. 6; pp. 637 - 647
• Main Authors: HUTSON, D. G, RUSSELL, E, SCHIFF, E, LEVI, J. J, JEFFERS, L, ZEPPA, R
• Format: Journal Article
• Language: English
• Published: Hagerstown, MD Lippincott 01.06.1984
• Subjects: Adult; Aged; Bile Duct Diseases - pathology; Bile Duct Diseases - therapy; Bile Ducts - injuries; Biological and medical sciences; Cholangitis - therapy; Common Bile Duct - surgery; Constriction, Pathologic; Dilatation - methods; Female; Fistula; Gastroenterology. Liver. Pancreas. Abdomen; Humans; Jejunum - surgery; Liver. Biliary tract. Portal circulation. Exocrine pancreas; Male; Medical sciences; Middle Aged; Other diseases. Semiology; Postoperative Complications - therapy; Recurrence; Human; Biliary tract; Cholangiography; Jejunostomy; Radiodiagnosis; Surgical anastomosis; Cuffed tube; Stenosis; Instrumentation therapy; Instrumental dilatation; Choledochojejunal; Hepatobiliary disease; Surgery; Digestive diseases; Sclerosing cholangitis
• ISSN: 0003-4932; 1528-1140
• DOI: 10.1097/00000658-198406000-00002

The problem of recurrent strictures following repair for bile duct injuries or in patients with sclerosing cholangitis is well recognized. For the most part, the recurrent problems have required repeated operations. The possibility of controlling the recurrent strictures by dilatation has been postulated, but repeated dilatations obviously require simple access to the entire biliary tree. We have found that stomatization of the afferent limb of a choledochojejunostomy or hepaticojejunostomy provides ready access to the biliary tree through which strictures can be readily traversed and dilated. Our early results with this procedure suggest that long-term patency can be expected following dilatation of these strictures.