LONG-TERM RESULTS OF PERCUTANEOUS TRANSHEPATIC AND TRANSDRAINAGE STENTING OF BENIGN POST-TRAUMATIC STRICTURES OF THE BILE DUCTS

The study included 43 patients with benign bile duct strictures (BD), located in the center of surgical gastroenterology. During the period from 2006 to 2013 yearsamong the patients was 14 (32.6%) men and 29 (67.4%) women. Follow-up results of percutaneous transhepatic stenting in 35 (81.4%), and transdrainage in 8 (18.6%) patients up to 7 years. It is concluded that both methods are highly effective, provide a good quality of life and require further study. We used nitinol uncovered stents in 29 (67.4%), 14 (32.6%) patients were treated with covered stents, which are implanted into the BD and the zone of biliodigestive anastomosis. The main reason for the unsatisfactory results of treatment was impaired patency of biliary stents, which manifested itself of intermittent jaundice, cholangitis attacks developed, at different times after stenting in 28 (65.1%) patients. This required them to rate distant lithotripsy (DL) in terms of 2, 6 and 12 months after stenting and courses sanation cholangioscopy in the same period. In 14 patients of positive results after DL has been received. For this reason, 10 patients were subsequently subjected sanation cholangioscopy mechanical cleaning with the brush stent lumen. In spite of the activities carried out, had to remove the stent 14 in 10 (23.3%) patients. Of the 14, 10 were deleted stents coated and uncoated 4. In the future, of 10 patients with stent removal, six patients were restented, one patient from the type of “stent-to-stent”, five in the future. Of the four remaining patients, two were discharged externally, internal drainage, and the remaining two with external drainage. Causes of stent patency were: inlay bile salts and obliteration of granulomatous tissue in 70% of cases and 30% of cases, respectively.

Keywords

Authors

References