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BENIGN BILIARY STRICTURES: A PROPOSED COMBINED SURGICAL AND RADIOLOGICAL MANAGEMENT
Author(s) -
Gibson R. N.,
Adam A.,
Czerniak A.,
Haleyy A.,
Hadjis N.,
Benjamin I. S.,
Allison D. J.,
Blumgart L. H.
Publication year - 1987
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1987.tb01377.x
Subject(s) - medicine , radiological weapon , surgery , fixation (population genetics) , radiology , population , environmental health
A combined surgical and radiological approach to the management of complex biliary strictures is described. Radiological access for stricture dilatation or stone extraction is created at the time of surgery either by insertion of a transhepatic u‐tube or superficial fixation of the afferent limb of the roux‐en‐y loop. Each of seven patients treated in this way had multiple complicating factors known to adversely affect the outcome of operative repair. Five of the seven have had an excellent outcome at a median follow‐up of 15 months (mean 21 months, range 2–39 months).