Percutaneous transjejunal biliary dilatation: Alternate management for benign strictures

E. Russell, J. M. Yrizarry, J. S. Huber, D. Nunez, D. G. Hutson, E. Schiff, K. R. Reddy, L. J. Jeffers, A. Williams

Research output: Contribution to journalArticlepeer-review

38 Scopus citations

Abstract

Since 1980, 23 patients with diffuse benign biliary strictures underwent percutaneous retrograde biliary dilatation through a surgically created jejunal access route. Bile ducts of 15 patients with sclerosing cholangitis, five with traumatic strictures, and three with strictures of diverse etiology were dilated with 25-atm balloons during 88 separate sessions. Individual dilatation intervals ranged between 2 and 36 months. Three patients with sclerosing cholangitis died. One uncomplicated bile duct rupture occurred in the trauma group because of balloon oversizing. Our 5-year experience indicates that bile duct patency can be safely maintained by repeated retrograde dilatation without the need for biliary catheters or stents.

Original languageEnglish (US)
Pages (from-to)209-214
Number of pages6
JournalRadiology
Volume159
Issue number1
DOIs
StatePublished - Jan 1 1986

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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