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

1. Miletic, D., Uravic, M., Mazur-Brbac, M., et al. Role of magnetic resonance cholangiography in the diagnosis of bile duct lithiasis. World. J. Surg., 2006; 30: 1705–1712.

2. Hatzidakis, A., Krokidis, M., Gourtsoyiannis, N. Percutaneous removal of biliary calculi. Cardiovasc. Interv. Radiol., 2009; 32, 1130–1138.

3. Ozcan, N., Erdogan, N., Baskol, M. Common bile duct stones detected after cholecystectomy: advancement into the duodenum via the percutaneous route. Cardiovasc. Interv. Radiol., 2003; 26: 150–153.

4. Hazey, J. W., McCreary, M., Guy, G., Melvin, W. S. Efficacy of percutaneous treatment of biliary tract calculi using the holmium: YAG laser. Surg. Endosc., 2007; 21: 1180–1183.

5. Bonnel, D. H., Liquory, C. E., Corund, F. E., Lefebvr, J. F. P. Common bile duct and intrahepatic stones: results of transhepatic electrohydraulic lithotripsy in 50 patients. Radiology, 1991; 180: 345–348.

6. Gamal, E. M, Szabó, A., Szüle, E., et al. Percutaneous video choledochoscopic treatment of retained biliary stones via dilated T-tube tract. Surg. Endosc., 2001; 15: 473–476.

7. Maruyama, T., Mori, A., Tatebe, H. et al. Percutaneous transhepatic cholangioscopic lithotomy of a common bile duct stone through the gallbladder route. Intern. Med., 2007; 46: 1481–1482.

8. Perry, L. J., Stokes, K. R., Lewis, W. D., et al. Biliary intervention by means of percutaneous puncture of antecolic jejunal loop. Radiology, 1995; 195: 163–167.

9. Tazuma, S. Epidemiology, pathogenesis and classification of biliary stones (common bile duct and intrahepatic). Best Practice§ Research Clinic. Gastroenterol., 2006; 20: 1075–1083.

10. Harbin, W. P., Mueller, P. R., Ferrucci, J. T. Transhepatic cholangiography complications and use patterns of the fine needle technique. A multi-institution survey. Radiology, 1980; 135: 15–22.

11. McNicholas, M. M. J., Lee, M. J., Dawson, S. L., Mueller, P. R. Complications of percutaneous biliary drainage and stricture dilatation. Semin. Interv. Radiol., 1994; 11: 242–253.

12. Akiyama, H., Okazaki, T., Takashima, I., et al. Percutaneous treatments of biliary diseases. Radiology, 1990; 176: 25–30.

13. Köcher, M., Černá, M., Havlík, R., et al. Percutaneous treatment of benign bile duct strictures. Eur. J. Rad., 2007; 62: 170–174.

14. Peregrin, J. H., Köcher, M. Intervence u benigních biliárních lézí. Abstrakt CSIR 2010, Ces. Rad., 2010; 64: 171.

15. Köcher,M., Thomas, P., Peregrin, J. H., et al. Tlakový perfuzní test. Abstrakt CSIR 2010, Ces. Rad., 2010; 64: 171–172.

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Surgery Orthopaedics Trauma surgery
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