Biliary strictures represent a frequent complication of surgical procedures involving the biliary tract,
that may determine an obstruction to bile flow,
with consequent stasis,
infection and liver damage.
In patients with benign biliary stenosis the first therapeutic approach consist in performing balloon dilation through an endoscopic approach.
in some cases (e.g.
Roux-en-Y reconstruction) endoscopic access to the bile three may be unfeasible.
In these cases,
Methods and materials
Ten hospitals in Europe and South America with high experience in percutaneous treatment of biliary disease are participating in the study.
Up to now,
35 (59.3%) males and 24 (40.7%) females,
age 56.8 ± 18.9 years (mean ± standard deviation) were retrospectively evaluated. They were treated with the implantation of 67 bioabsorbable biliary stent (Ella-DV biliary stent,
Czech Republic) for the treatment of a benign biliary stricture refractory to standard bilioplasty. The...
The procedure was successfully performed in 58/59 patients (technical success 98.3%).
In one case a malpositioning of the stent during the procedure occurred.
Procedure was clinically effective in all cases.
There were four (6.8%) immediate complications,
including the case of malpositioning and three mild haemobilia,
that resolved spontaneously.
No late complications related to the stent positioning occurred.
At a mean follow up time of 23.2 ± 15.1 months (mean ± standard deviation); there...
Percutaneous bioabsorbable biliary stent placement is feasible in the large majority of cases,
and represent an effective novel treatment of benign biliary strictures.
Biodegradable biliary stent implantation in the treatment of benign bilioplastic-refractory biliary strictures: preliminary experience.
2013 Dec [cited 2014 Jun 28];23(12):3304–10.
Available from: http://www.ncbi.nlm.nih.gov/pubmed/23842947 Shimada H,
The current diagnosis and treatment of benign biliary stricture.