Centre d'Imagerie Tourville, 19 avenue de Tourville Paris, 75007 France.
Am J Surg. 2012 Jun;203(6):675-83. doi: 10.1016/j.amjsurg.2012.02.001.
Percutaneous transhepatic balloon dilatation is an alternative to surgery when benign bilioenteric strictures (BBES) are inaccessible to endoscopic treatment. Our primary objective was to report long-term patency of balloon-dilated BBES.
A total of 110 consecutive patients with 155 BBES had percutaneous transhepatic complete drainage of all biliary territories, balloon dilatation, and catheter stenting. Intracorporeal electrohydraulic lithotripsy treated associated biliary stones. Biliary drains were removed when no residual balloon waists were observed on at least 2 consecutive sessions, 6 weeks apart.
A total of 109 of 110 patients had complete drainage. Forty-five patients had successfully treated associated stones. Eleven patients had short-term complications. No patients died. The median follow-up period was 59 months (range, .5-278 mo). Twenty-three patients were lost to follow-up evaluation. Thirteen patients had recurrent biliary obstruction (15%). Life-table analysis showed 90.9% bilioenteric patency after 2,697 days.
Percutaneous balloon dilatation and calibration of BBES provides acceptable morbidity and low long-term stricture recurrence.
当良性胆肠狭窄（BBES）无法进行内镜治疗时，经皮经肝球囊扩张术是手术的替代方法。我们的主要目的是报告球囊扩张 BBES 的长期通畅率。
110 例 155 例 BBES 患者连续进行了经皮经肝完全引流所有胆道区域、球囊扩张和导管支架置入。腔内液电碎石术治疗了相关的胆管结石。当至少连续两次（间隔 6 周）检查均未见残余球囊腰时，将胆道引流管取出。
110 例患者中，109 例获得完全引流。45 例患者成功治疗了相关结石。11 例患者出现短期并发症。无患者死亡。中位随访时间为 59 个月（范围，0.5-278 个月）。23 例患者失访。13 例患者出现复发性胆道梗阻（15%）。生存分析显示，2697 天后胆肠通畅率为 90.9%。
经皮球囊扩张和 BBES 校准可提供可接受的发病率和低的长期狭窄复发率。
