Application of percutaneous intervention in the treatment of benign biliary-enteric anastomosis stricture

VernacularTitle:经皮介入技术在良性胆肠吻合口狭窄治疗中的应用
Author: Jingzhao HAN ; Zepu WANG ; Hongfang TUO ; Yanhui PENG ; Hongyu ZHAO ; Yifan LIU ; Shaoxiong REN
From: International Journal of Surgery 2021;48(4):274-278
CountryChina
Language:Chinese
Abstract: Choledochojejunostomy is a common surgical method for the treatment of organ diseases such as hepatobiliary, gastrointestinal and pancreatic diseases, but there are many complications related to the operation. Benign biliary-enteric anastomosis stricture (BBES) is the most common long-term complication after operation, which seriously affects the quality of life of patients. At present, bile duct reconstruction and endoscopic treatment are the main methods to deal with BBES, but there are some limitations. The new interventional therapy has the advantages of small trauma, good repeatability, high success rate and few complications. It has been applied in many medical centers. The main treatment methods include percutaneous transhepatic biliary balloon dilatation, percutaneous temporary stent placement, percutaneous transhepatic choledochoscopy, magnetic compression anastomosis and intrabiliary ablation. Up to now, there is no uniform standard for the choice of interventional therapy for BBES at home and abroad, so it is of great clinical significance to establish a standardized interventional therapy strategy.