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. 2003 Sep-Oct;50(53):1229-31.

Long-term follow-up after endoscopic biliary stent placement for bile duct strictures from laparoscopic cholecystectomy

Giovanni D De Palma  1 , Giuseppe Galloro, G Romano, Roberto Sottile, A Puzziello, Francesco Persico, Stefania Masone, Orazio Labianca, Giovanni Persico
Affiliations
  • PMID: 14571706

Long-term follow-up after endoscopic biliary stent placement for bile duct strictures from laparoscopic cholecystectomy

Giovanni D De Palma et al. Hepatogastroenterology. 2003 Sep-Oct.

Abstract

Background/aims: The outcome of endoscopic biliary stent insertion for postoperative bile duct stenosis was retrospectively evaluated.

Methodology: Fifty-seven patients with biliary stenosis from laparoscopic cholecystectomy were included from February 1992 to January 2000. One to three stents were inserted for an average of 12.4 months, with stent exchange every 3 months to avoid cholangitis caused by clogging.

Results: Successful stent insertion was achieved in 43/57 (75.4%) patients. Stent insertion failed in 10 patients with complete and in 4 patients with incomplete biliary obstruction. Early complications occurred in 4 patients. Late complications occurred in 5/43 patients. Five patients experienced recurrence of stenosis.

Conclusions: Endoscopic treatment should be the initial management of choice for postoperative bile duct stenosis.

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