medigraphic.com
ISSN 1665-2576 (Print)

2003, Number 4

<< Back Next >>

Rev Mex Cir Endoscop 2003; 4 (4)

Endoscopic treatment of the bile duct postoperative strictures: Thirteen years experience

Rendón CE, Pérez BB, Gómez CX, Mora LG, González-Angulo RA, López AME, Rodríguez VG

Language: Spanish
References: 50
Page: 184-190
PDF size: 793.43 Kb.


ABSTRACT

Introduction: The Bile Duct Postoperative Strictures usually occurs at a 0.2 to 0.5% rate after the performance of a laparoscopic cholecystectomy has been undertaken with or without the sounding of the biliary tract. There is an 85% rate of success in resolving the strictures with the placement of biliary endoprosthesis. Objectives: The objective is to show the endoscopic procedure’s effectiveness and certainty on the bile duct postoperative strictures and to identify the kind of injuries in the biliary tract. Material and methods: This is a descriptive, retrospective and cross section actual study that included the file review of patients with Bile Duct Postoperative Strictures diagnosis, during the period comprised between the months of March 1990 to July 2003. Results: There were included 143 patients with Bile Duct Post Operative Strictures diagnosis, of which 56 were males and 87 were females, with an average 40 years of age; the kind of injuries were as follow Bismuth I = 33 patients, Bismuth II = 48 patients and Bismuth III = 62 patients. The 26.5 % of the patients completed the two years protocol; out of these the strictures were resolved in 32 cases. Complications: Hemorrhage = 1 patient, Pancreatitis = 2 patients, Colangitis = 2 patients and Migration = 6 patients. Conclusion: The treatment of choice for the Bile Duct Postoperative Strictures is the placement of biliary endoprosthesis.


REFERENCES

  1. Langenbuch CJA. Ein Fall von Exstirpation der Gallenblase Wegen Chronischer Cholelithiasis. Berliner Klin Wochenschr 1882; 19: 725-727.

  2. Traverso LW. Carl Langenbuch and the first cholecystectomy. Am J Surg 1976; 132: 81-82.

  3. The Southern Surgeons Club: A prospective analysis of 1,518 laparoscopic cholecystectomies. N Engl J Med 1991; 324: 1073-1078.

  4. Peters JH, Ellison EC, Iness JT. Safety and efficacy of Laparoscopic cholecystectomy: A prospective analysis of 100 initial patients. Ann Surg 1991; 213: 3-12.

  5. Graves HA, Ballinger JF, Anderson WJ. Appraisal of laparoscopic cholecystectomy. Ann Surg 1991; 213: 655-664.

  6. Schirmer BD, Edge SB, Dix J, Hyser MJ, Hanks JB, Jones RS. Laparoscopic cholecystectomy: treatment of choice for symptomatic cholelithiasis. Ann Surg 1991; 213: 665-677.

  7. Cuschieri A, Dubois F, Mouiel J et al. The European experience with laparoscopic cholecystectomy. Am J Surg 1991; 161: 385-387.

  8. Larson GM, Vitale GC, Casey J et al. Multipractice analysis of laparoscopic cholecystectomy in 1,983 patients. Am J Surg 1992; 163: 221-226.

  9. Airan M, Appel M, Berci G et al. Retrospective and prospective multi-institutional laparoscopic cholecystectomy study organized by the Society of American Gastrointestinal Endoscopic Surgeons. Surg Endosc 1992; 6: 169-176.

  10. Ko ST, Airan MC. Review of 300 consecutive laparoscopic cholecystectomy: development, evolution and results. Surg Endosc 1991; 5: 103-108.

  11. Voyles CR, Petro AB, Meena AL, Haick AJ, Koury AM. A practical approach to laparoscopic cholecystectomy. Am J Surg 1991; 161: 365-370.

  12. Hunter JG. Avoidance of bile duct injury during laparoscopic cholecystectomy. Am J Surg 1991; 162: 71-76.

  13. Wolfe BM, Gardiner BN, Leary BF, Frey CF. Endoscopic cholecystectomy: An analysis of complications. Arch Surg 1991; 126: 1192-1198.

  14. Fitzgibbons RJ Jr, Schmid S, Santoscoy R et al. Open laparoscopic for laparoscopic cholecystectomy. Surg Laparoscopy Endosc 1991; 1: 216-222.

  15. Davis CJ, Arregui ME, Nagan RF, Shaar C. Laparoscopic cholecystectomy: the St Vincent experience. Surg Laparoscopy Endosc 1992; 2: 64-68.

  16. Andrén-Sandberg A, Alinder G, Bengmark S. Accidental lesions of the common bile duct at cholecystectomy. Ann Surg 1985; 201: 328-332.

  17. Gilliland TM, Traverso LW. Modern standards for comparison of cholecystectomy with alternative treatments for symptomatic cholelithiasis with emphasis of long term relief of symptoms. Surg Gynecol Obstet 1990; 170: 39-44.

  18. Ganey JB, Jonhson PA Jr, Prillaman PE, McSwain GR. Cholecystectomy: clinical experience with a large series. Am J Surg 1986; 151: 352-357.

  19. Pickleman J, González RP. The improving results of cholecystectomy. Arch Surg 1986; 121: 930-934.

  20. Mongerstern L, Wong L, Berci G. Twelve hundred open cholecystectomies before the laparoscopic era: a standard for comparison. Arch Surg 1992; 127: 400-403.

  21. Roslyn JJ, Pins GS, Hughes GS et al. Open cholecystectomy: a contemporary analysis of 42,474 patients. Ann Surg 1993; 218: 129-137.

  22. Strasberg SM, Hertl M, Soper NJ. An analysis of the problem of biliary injury during laparoscopic cholecystectomy. J Am Coll Surg 1995; 180: 101-125.

  23. Wherry DC, Marohn MR, Malanoski MP et al. An external audit of laparoscopic cholecystectomy in the steady state performed in medical treatment facilities of the Department of Defense. Ann Surg 1996; 224: 145-154.

  24. Windsor JA, Pong J. Laparoscopic biliary injury: more than a learning curve problem. Aust NZ Surg 1998; 68: 186-189.

  25. Adomsen S, Hansen OH, Funch-Jensen P et al. Bile duct injury during laparoscopic cholecystectomy: a prospective nationwide series. J Am Coll Surg 1997; 184: 571.

  26. Melton BG, Lillemoe KD, Cameron LJ et al. Impaired quality of life 5 years after bile duct injury during laparoscopic cholecystectomy. A prospective analysis. Ann Surg 2001; 234: 750-757.

  27. Von Sonnenberg EV, Varney RR, Casola G. Obstructive jaundice, radiology and the Surgeon. Prob Gen Surg 1989; 6: 11-18.

  28. Von Sonnenberg EV, Casola G, Wittich GR et al. The role of interventional radiology for complications of cholecystectomy. Surgery 1990; 107: 632-638.

  29. Davidoff AM, Pappas TN, Murray EA et al. Mechanisms of major biliary injury during laparoscopic cholecystectomy. Ann Surg 1992; 215: 196-202.

  30. Haff RC, Butcher HR Jr, Ballinger WF. Biliary Tract Operations: A review of 1,000 patients. Arch Surg 1969; 98: 428-434.

  31. Ligoury C, Vitale GC, Lefebre JF et al. Endoscopic treatment of postoperative biliary fistulae. Surgery 1991; 110: 779-784.

  32. Moosa AR, Mayer AD, Stabile B. Iatrogenic injury to the bile duct: Who, how, where? Arch Surg 1990; 125: 1028-1030.

  33. Pellegrini CA, Thomas MJ, Way LW. Recurrent biliary stricture: Patterns of recurrence and outcome of surgical therapy. Am J Surg 1984; 147: 175-180.

  34. Pitt HA, Koufman SL, Coleman J et al. Benign postoperative biliary strictures. Operate o dilate. Ann Surg 1989; 210: 417-427.

  35. Saber K, El-Manilow M. Repair of bile duct injuries. World J Surg 1984; 8: 82-89.

  36. Brandabur JJ, Kozarek RA. Endoscopic repair of bile leaks following laparoscopic cholecystectomy. Semin Ultrasound CT, MR. 1993; 14: 375-381.

  37. Kozarek RA. Endoscopic management of bile duct injury. Gastrointest Endosc Clin North Am 1993; 3: 261-270.

  38. Bergman JJ, Van den Brink GR, Raws EA et al. Treatment of bile duct lesions after laparoscopic cholecystectomy. Gut 1996; 38: 141-147.

  39. Branum G, Schmitt C, Baille J et al. Management of major biliary complications after laparoscopic cholecystectomy. Ann Surg 1993; 217: 532-541.

  40. Litynski GS. Highlights in the history of laparoscopy. Frankfurt: B Bernet Verlag. 1996.

  41. Cushieri A, Dubois F, Mouiel J et al. The European experience with laparoscopic cholecystectomy. Am J Surg 1991; 161: 385-387.

  42. Ligoury C, Lefebrre, De Paulo GA. Tratamiento endoscópico de las complicaciones biliares de la cirugía laparoscópica. Encyclopédie Medico-Chirurgicale-E-40-961.

  43. Pit D, Ringers J, Rauws EA et al. Bile duch injury alter laparoscopic cholecystectomy: the valve of endoscopic retrograde cholangiopancreatography. Gut 1993; 34: 1250-1254.

  44. Sung JY, Leung JW, Shaffer EA et al. Ascending infection of the biliary tract after surgical sphincterotomy and biliary stenting. J Gastroenterol Hepatol 1992; 7: 240-245.

  45. Groen AK, Ot T, Huibregtse K et al. Characterization of the occluded biliary endoprosthesis. Endoscopy 1987; 19: 57-59.

  46. Dowidar N, Komos HJ, Matzen P. Experimental clogging of biliary endoprosthesis: role of bacteria, endoprosthesis material and design. Scand J Gastroenterol 1993; 27: 77-80.

  47. Jansesn B, Goodman LP, Ruiten D. Bacterial adherence to hydrophilic polymer-coated polyurethane stents. Gastrointest Endosc 1993; 39: 670-673.

  48. Barrioz T, Ingrand P, Besson I, de Ledinghen V, Silvain C, Beauchant M. Randomized trial of prevention of biliary stent occlusion by ursodeoxycholic acid plus norfloxacin. Lancet 1994; 35: 581-582.

  49. Ghost S, Palmer KR. Prevention of biliary stent occlusion using cyclical antibiotics and ursodeoxycholi acid. Gut 1994; 35: 1757-1759.

  50. Luman W, Ghost S, Palmer KR. A combination of ciprofloxacin and rowachol does not prevent biliary stent occlusion. Gastrointest Endosc 1999; 49: 316-321.




2020     |     www.medigraphic.com