Shankara Subramanyam Govindan, Liu Shuang Yue* and Liu Zi Jun
Department of General Surgery, Nanjing First Hospital Affiliated to Nanjing Medical University, ChinaFulltext PDF
Background: Benign anastomotic stricture after hepaticojejunostomy remains one of the undesirable complications of biliary surgery. Consequently, if not dealt with properly, jaundice, cholangitis, or cirrhosis may develop. While surgery is being associated with high morbidity and mortality and endoscopy is challenging to perform due to the complex anatomical reconstruction, percutaneous therapy, including stricture dilatation and stenting, seems to offer a practical approach to cases of benign biliary stricture post hepaticojejunostomy. Case Presentation: Percutaneous transhepatic stricture dilation can provide a safer, easier, and cheaper alternative to the traditional approaches above. We used dilation by PTCD (Percutaneous Transhepatic Cholangio Drainage) to manage three patients who developed biliary anastomotic strictures after biliary enteric reconstructive surgery. Conclusion: This paper reports how this method's usage could provide another less invasive way of treating billion enteric anastomotic stricture post-Roux-en-Y.
Hepaticojejunostomy; Stricture; PTCD; Dilation; Roux-en-Y
Govindan SS, Yue LS, Jun LZ. Bilioenteric Anastomotic Stricture PostRoux-en-Y treated by Gradual Stricture Dilation Method via PTCD ? Case Report. Clin Surg. 2020; 5: 2995..