Endoscopic diagnosis and treatment for post cholecystectomy bile duct stenosis in 120 cases
10.3760/cma.j.issn.1007-631X.2015.12.008
- VernacularTitle:胆囊切除术后胆管狭窄内镜诊治120例临床分析
- Author:
Shudan LI
;
Hangbin JIN
;
Xiaofeng ZHANG
;
Wen LYU
;
Xiao ZHANG
;
Jian ZHANG
- Publication Type:Journal Article
- Keywords:
Cholecystectomy;
Cholangiopancreatography,endoscopic retrograde;
Biliary stenosis
- From:
Chinese Journal of General Surgery
2015;30(12):953-956
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate endoscopic management of bile duct benign and malignant stenosis after cholecystectomy.Methods A retrospective analysis was made on 120 bile duct benign and malignant stenosis developed after cholecystectomy, ERCP diagnosis and treatment was evaluated.Results Of the 120 cases, there was bile duct stenosis in 79 cases (including 61 cases with common bile duct stones), papillary inflamnatory stenosis in 15 cases, diverticulum associated duodenal papillitis in 8 cases, malignant biliary stricture in 8 cases.Among these 120 cases there were hilar benign stenosis in 3 cases, 3 cases with hilar malignant tumor, 4 cases of chronic pancreatitis.Benign bile duct stricture was treated with plastic stent drainage, concomitant calculi by endoscopic stone extraction.Papillary stenosis and papillitis were managed by EST or EPBD, inoperable malignant biliary stenosis by mental stent placement.Conclusions After cholecystectomy biliary stenosis treated by ERCP and endoscopic therapy is miniinvasive helping control biliary infection when the diagnosis of benign stenosis of bile duct is established.
