Management of benign XXXX by percutaneous interventional radiologic techniques (PIRT).

@entity1 @entity63 @entity5 @entity1157 @entity991 @entity254 @entity253
INTRODUCTION: Some @entity253 may be manageable by percutaneous interventional radiologic techniques (PIRT), but long-term efficacy of this approach is scarce. METHODS: We reviewed retrospectively all @entity1 with @entity253 secondary to traumatic @entity1157 or strictured bilioenteric anastomoses. @entity1 in whom the initial management was by PIRT from 1998 through 2003 were selected. Subjects with @entity991 , hepatic transplantation, or malignant strictures were excluded. Data were obtained from medical records and/or direct @entity1 contact. Comparisons were made by Fisher's exact test and Wilcoxon rank-sum test. RESULTS: Twenty-seven @entity1 with @entity253 were treated by PIRT. Mean age was 54 years (range 11-86). Most frequent etiology was laparoscopic cholecystectomy injury in 11 @entity1 (41%). Eight @entity1 (29%) had undergone biliary resection for @entity5 , seven (26%) a pancreatoduodenectomy, and one for presumed @entity63 ; no strictures were secondary to neoplastic recurrence. PIRT was successful in 10 of 11 @entity1 (91%) with short, isolated @entity1157 secondary to laparoscopic cholecystectomy and in seven of 15 @entity1 (41%) with strictured bilioenteric @entity254 , but not in the @entity1 with @entity63 . Twenty @entity1 (74%) were stent-free at follow-up. @entity253 were more likely to fail PIRT than isolated strictures secondary to laparoscopic cholecystectomy injury (p=0.02). CONCLUSION: Percutaneous balloon dilatation and stenting can be an effective strategy for @entity1 with @entity1157 , especially short @entity1157 after laparoscopic cholecystectomy. Anastomotic strictures are associated with less good results when managed by PIRT but are successful in up to 40% of @entity1 .
