Cutting balloon in the treatment of benign anastomotic stricture of hepatoenterostomy

VernacularTitle:胆肠吻合口良性狭窄的切割球囊治疗
Author: Long CHENG ; Xuming BAI ; Xingshi GU ; Yong JIN
Publication Type:Journal Article
Keywords: Jaundice,obstructive; Anastomosis,Roux-en-Y; Cutting balloon
From: Chinese Journal of General Surgery 2013;28(11):833-835
CountryChina
Language:Chinese
Abstract: Objective To investigate the early outcome of cutting balloon (PCB) in the management of hepatoenterostomy stricture.Methods The clinical data of 12 cases of supposed benign anastomotic strictures after hepatoenterostomy were retrospectively studied.Hepatic duct jejunal anastomotic stricture was confirmed by MRI or PTC,and patients underwent anastomosis plastic repair by CB.Biliary drains tube were removed when free flow of the contrast material through the anastomosis was observed by cholangiography at least 2 weeks postoperative.The follow-up period was 1 year.Results Cutting balloon procedures were successful in all the 12 cases.The symptoms of jaundice and infection were abated.3 cases suffered from postoperative transient complications.On follow up,1 patient died of tumor recurrence,2 patients reported biliary calculi associated with actue cholangitis which were relieved after corresponding treatment.Conclusions Cutting balloon repair of the biliary-enteric anastomotic strictures is a safe,reliable and minitraumatic procedure.