Progressive balloon dilatation following hepaticojejunostomy improves outcome of bile duct stricture after iatrogenic biliary injury

BMC Gastroenterology

Fu-zhou Tian¹  Tao Wang¹  Li-jun Tang¹  Jian-dong Ren¹  Long Cheng¹  Zhu-lin Luo² 

[1] Department of General Surgery, General Hospital of Chengdu Military Command, Chengdu, Sichuan Province, People’s Republic of China;Graduate School, Third Military Medical University, Chongqing, People’s Republic of China

关键词: Hepaticojejunostomy;    Balloon dilation;    Cholecystectomy;    Iatrogenic biliary strictures;   

Others  :  858048
DOI  :  10.1186/1471-230X-13-70

 received in 2012-12-22, accepted in 2013-04-17,  发布年份 2013

【 摘 要 】

Background

Iatrogenic biliary stricture (IBS) is a disastrous complication of cholecystectomy. Although the endoscopic treatments are well accepted as initial attempts for IBS, surgical hepaticojejunostomy (HJ) is often necessary for a considerable proportion of patients. However, the anastomotic stricture after HJ also occurs.

Methods

In the present study, a new procedure, progressive balloon dilation following HJ (HJPBD), was designed and utilized in the IBS treatment. We retrospectively compared HJPBD with the traditional HJ in term of the outcomes when used for IBS treatment.

Results

Between January 1997 and December 2009, 112 patients with IBS attributed to cholecystectomy enrolled in our hospital were treated with surgical reconstruction with either HJ (n=58) or HJPBD (n=54). Of the 58 patients in HJ group, 48 patients (82.8%) had a successful outcome, while 52 out of 54 patients (96.3%) in HJPBD group achieved success. The successful surgical reconstruction rates were significantly different between these two groups, with a further improved outcome in patient undergone progressive balloon dilation following HJ. Additionally, 8 of the 10 failure cases in HJ group were successfully rescued by HJPBD procedure.

Conclusions

Our findings suggest that the new procedure of HJPBD could be successfully applied to IBS patients, and significantly improve the outcome of IBS reconstruction.

【 授权许可】

   
2013 Luo et al.; licensee BioMed Central Ltd.

【 图 表 】

【 参考文献 】

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