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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 


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