Percutaneous Treatment of Symptomatic Massive Bile Ducts Stones after Previous Surgery with Biliodigestive Anastomosis – Report of Three Cases
																	
									Authors:
											R. Janoušek; 											T. Daněk						*; 											P. Vyhnálek						**; 											J. Hájek						***										
				
									Authors‘ workplace:
											Základna radiodiagnostiky a intervenční radiologie, Institut klinické a experimentální medicíny, Praha
						; 											Chirurgická klinika, Pardubická krajská nemocnice a. s., Pardubice
						*; 											Interní klinika, Pardubická krajská nemocnice a. s., Pardubice
						**; 											Radiodiagnostické oddělení, Pardubická krajská nemocnice a. s., Pardubice
						***										
				
									Published in:
					Rozhl. Chir., 2011, roč. 90, č. 9, s. 508-511.
					
				
									Category:
					Monothematic special - Original
					
				
							
Overview
Purpose:
 Presentation of our own experience with percutaneous treatment of symptomatic bile-duct stones like late complication in patients with biliodigestive anastomosis.
Method:
 Three symptomatic female patients with biliodigestive anastomosis and acutely symptomatic with proven bile-duct stones above anastomosis were treated with initial percutaneous transhepatic drainage and later via percutaneous route using of endoscopic lithotryptor with special technique.
Results:
 All procedures were successful without complication, the patients are free of biliary symptoms in the long term. 
Conclusion:
 Percutaneous removal of bile-duct stones in patients with biliodigestive anastomosis is safe and effective method which can be used as an alternative to surgery.
Key words:
 biliodigestive anastomosis – bile duct stones – biliary lithotripsy – percutaneous transhepatic cholangiografy and drainage 
Sources
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Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
					2011 Issue 9
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