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Radiology, Vol 160, 17-22, Copyright © 1986 by Radiological Society of North America

ARTICLES

Biliary stricture dilatation: multicenter review of clinical management in 73 patients

PR Mueller, E vanSonnenberg, JT Ferrucci Jr, PJ Weyman, RJ Butch, RA Malt and HJ Burhenne

Eighty-nine biliary strictures in 73 patients who had undergone percutaneous balloon dilatation were reviewed to determine long-term patency rates and clinical management problems. The majority of dilatations were performed in patients with anastomotic strictures (n = 44), iatrogenic strictures (n = 28), and strictures associated with sclerosing cholangitis (n = 17). Patency rates after 36 months or more were 67%, 76%, and 42%, respectively. Complications, mostly minor, occurred in less than 7% of patients. Of patients with significant biliary obstruction, 15% had little or no intrahepatic biliary duct dilatation demonstrated by cross-sectional imaging and/or direct cholangiography. No definite conclusions could be drawn about the utility of long-term internal/external stenting.


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