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

BMC Gastroenterology

Research Article

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

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

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

DOI  :  10.1186/1471-230X-13-70

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

来源: Springer

【 摘 要 】

BackgroundIatrogenic 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.MethodsIn 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.ResultsBetween 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.ConclusionsOur 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】

Unknown   
© Luo et al.; licensee BioMed Central Ltd. 2013. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.