Endoscopy 2018; 50(04): S196
DOI: 10.1055/s-0038-1637643
ESGE Days 2018 ePosters
Georg Thieme Verlag KG Stuttgart · New York

ENDOSCOPIC TREATMENT FOR POST-OPERATIVE BENIGN BILIARY STRICTURE

D Paikos
1   General Hospital Genimatas – Agios Demetrios, Thessaloniki, Greece
,
I Moschos
2   Gastrointestinal Endoscopy Unit, Democritus University of Thrace, University General Hospital, Alexandroupolis, Greece
,
G Sofianidis
1   General Hospital Genimatas – Agios Demetrios, Thessaloniki, Greece
,
M Gianarakis
3   General Hospital Agios Demetrios, Thessaloniki, Greece
,
G Kouklakis
2   Gastrointestinal Endoscopy Unit, Democritus University of Thrace, University General Hospital, Alexandroupolis, Greece
› Author Affiliations
Further Information

Publication History

Publication Date:
27 March 2018 (online)

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Aims:

Post-operative benign biliary strictures (BBSs) is a very serious problem. The aim of the study is to evaluate the efficiency of endoscopic therapy during the early postoperative period (< 30 days).

Methods:

A group of 19 patients with BBSs aged from 30 to 85 years old had undergone endoscopic dilation (with balloon 8 – 10 Atm), followed by multiple endoscopic stenting technique, from 2007 to 2017.

Results:

Nineteen patients (12 women and 7 men). From 12 women 6 had Bismuth type I, 4 Bismuth type II, 2 Bismuth type III stricture. From 7 men 4 had Bismuth type I, 3 Bismuth type II stricture. From 12 women 4 (33,3%) were treated from the stricture in 3 months, 3 (25%) in 6 months and 5 (41,6%) in one year. From the 7 men, 2 (28,5%) were treated in 3 months, 1 (14,3%) in 6 months and 4 (57%) in one year. Two women and 1 man suffered from recurrent acute cholangitis and ERCP showed CBD stones, which removed.

Conclusions:

  1. Endoscopic therapy with multiple plastic stent placement provides a minimally invasive, safe and reliable first line management option for BBSs.

  2. Early post operative strictures respond favorably in above treatment.