Percutaneous intervention for bilioenteric anastomotic strictures: Current strategies and future directions

Postoperative bilioenteric anastomotic strictures are encountered in a significant number of patients after primary biliary repair, hepatopancreaticobiliary tumor resection, and liver transplantation. Due to difficulties with repeat surgery and endoscopic access, percutaneous dilation has become the...

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Main Authors: Rayhan Hai, Joshua Kuban
Format: Article
Language:English
Published: Society of Gastrointestinal Intervention 2017-03-01
Series:Gastrointestinal Intervention
Subjects:
Online Access:https://doi.org/10.18528/gii160034
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author Rayhan Hai
Joshua Kuban
author_facet Rayhan Hai
Joshua Kuban
author_sort Rayhan Hai
collection DOAJ
description Postoperative bilioenteric anastomotic strictures are encountered in a significant number of patients after primary biliary repair, hepatopancreaticobiliary tumor resection, and liver transplantation. Due to difficulties with repeat surgery and endoscopic access, percutaneous dilation has become the accepted treatment in these cases. While the overall paradigm of percutaneous access, balloon dilation, and catheter stenting remains consistent, institutional protocols differ in several technical variables including balloon sizes, inflation techniques, catheter sizing, and overall time course of treatment, amongst others. The current review aims to discuss various treatment protocols and their relative efficacy, as well as touch on emerging techniques.
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spelling doaj.art-d663a41b6cfe461e9e8ca38cfdb4cdf02022-12-22T02:52:44ZengSociety of Gastrointestinal InterventionGastrointestinal Intervention2213-17952017-03-0161707710.18528/gii160034gii160034Percutaneous intervention for bilioenteric anastomotic strictures: Current strategies and future directionsRayhan Hai0Joshua Kuban1Department of Interventional Radiology, University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADepartment of Interventional Radiology, University of Texas MD Anderson Cancer Center, Houston, TX 77030, USAPostoperative bilioenteric anastomotic strictures are encountered in a significant number of patients after primary biliary repair, hepatopancreaticobiliary tumor resection, and liver transplantation. Due to difficulties with repeat surgery and endoscopic access, percutaneous dilation has become the accepted treatment in these cases. While the overall paradigm of percutaneous access, balloon dilation, and catheter stenting remains consistent, institutional protocols differ in several technical variables including balloon sizes, inflation techniques, catheter sizing, and overall time course of treatment, amongst others. The current review aims to discuss various treatment protocols and their relative efficacy, as well as touch on emerging techniques.https://doi.org/10.18528/gii160034Biliary tractConstriction, pathologicRadiology, interventionalStents
spellingShingle Rayhan Hai
Joshua Kuban
Percutaneous intervention for bilioenteric anastomotic strictures: Current strategies and future directions
Gastrointestinal Intervention
Biliary tract
Constriction, pathologic
Radiology, interventional
Stents
title Percutaneous intervention for bilioenteric anastomotic strictures: Current strategies and future directions
title_full Percutaneous intervention for bilioenteric anastomotic strictures: Current strategies and future directions
title_fullStr Percutaneous intervention for bilioenteric anastomotic strictures: Current strategies and future directions
title_full_unstemmed Percutaneous intervention for bilioenteric anastomotic strictures: Current strategies and future directions
title_short Percutaneous intervention for bilioenteric anastomotic strictures: Current strategies and future directions
title_sort percutaneous intervention for bilioenteric anastomotic strictures current strategies and future directions
topic Biliary tract
Constriction, pathologic
Radiology, interventional
Stents
url https://doi.org/10.18528/gii160034
work_keys_str_mv AT rayhanhai percutaneousinterventionforbilioentericanastomoticstricturescurrentstrategiesandfuturedirections
AT joshuakuban percutaneousinterventionforbilioentericanastomoticstricturescurrentstrategiesandfuturedirections