Open AccessBalloon Dilatation Biliary Strictures Through a Choledochojejuno-Cutaneous Fistula
Author(s) -
Duane G. Hutson,
Edward Russell,
Eugene R. Schiff,
Joe J. Levi,
Lennox J. Jeffers,
Robert Zeppa
Publication year - 1984
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-198406000-00002
Subject(s) - medicine , balloon dilatation , surgery , fistula , bile duct diseases , bile duct , biliary fistula , left hepatic duct , balloon dilation , biliary tract , radiology , balloon
The problem of recurrent strictures following repair for bile duct injuries or in patients with sclerosing cholangitis is well recognized. For the most part, the recurrent problems have required repeated operations. The possibility of controlling the recurrent strictures by dilatation has been postulated, but repeated dilatations obviously require simple access to the entire biliary tree. We have found that stomatization of the afferent limb of a choledochojejunostomy or hepaticojejunostomy provides ready access to the biliary tree through which strictures can be readily traversed and dilated. Our early results with this procedure suggest that long-term patency can be expected following dilatation of these strictures.