Long-term results of percutaneous balloon dilation for ureterointestinal anastomotic strictures

2002 ◽  
Vol 9 (5) ◽  
pp. 241-246 ◽  
Author(s):  
Shizuo Yagi ◽  
Toshihiro Goto ◽  
Ken Kawamoto ◽  
Hiroshi Hayami ◽  
Shinji Matsushita ◽  
...  
Keyword(s):  
Balloon Dilation ◽  
Long Term Results ◽  
Percutaneous Balloon ◽  
Anastomotic Strictures

scholarly journals Management of colorectal anastomotic stricture with multidiameter balloon dilation: long-term results

2020 ◽  
Vol 24 (12) ◽  
pp. 1271-1276
Author(s):  
R.-H. Chan ◽  
S.-C. Lin ◽  
P.-C. Chen ◽  
W.-T. Lin ◽  
C.-H. Wu ◽  
...  
Keyword(s):  
Anastomotic Stricture ◽  
Balloon Dilation ◽  
Long Term Results ◽  
Endoscopic Dilation ◽  
Long Term Outcomes ◽  
Recurrence Rates ◽  
Aggressive Management ◽  
Anastomotic Strictures

Abstract Background Postoperative colorectal anastomotic strictures are quite common. As such, many techniques have been available to address such a problem, one of which is endoscopic dilation. The aim of the present study was to evaluate the long-term outcomes following endoscopic dilation using a multidiameter balloon. Methods A retrospective study was conducted on patients with postoperative anastomotic stenosis treated with endoscopic dilation using a multidiameter balloon at our institution, in January 2005–December 2019 were retrospectively reviewed, excluding those with tumor recurrence. Perioperative factors, complications, and recurrence rates were analyzed. Results There were 40 patients, (22 males and 18 females, mean age 64.6 ± 10.7 years, range 33–84 years). The median follow-up period was 56 months (interquartile range 22.5–99 months). Only 1 complication occurred, micro-perforation due to guided wire injury, which was managed conservatively. Five (12.5%) patients developed restenosis and underwent repeat balloon dilation. None of the five recurrences required more aggressive management, such as redo anastomosis. Conclusions Endoscopic multidiameter balloon dilation is a safe and effective method for treating benign colorectal anastomotic strictures.

Fluoroscopically Guided Balloon Dilation of Anastomotic Strictures After Total Gastrectomy: Long-Term Results

2007 ◽  
Vol 188 (3) ◽  
pp. 647-651 ◽  
Author(s):  
Young Kwon Cho ◽  
Ji Hoon Shin ◽  
Byung-Shik Kim ◽  
Jung-Hwan Yook ◽  
Ho-Young Song ◽  
...  
Keyword(s):  
Total Gastrectomy ◽  
Balloon Dilation ◽  
Long Term Results ◽  
Anastomotic Strictures

scholarly journals Long-Term Outcome of Endoscopic Balloon Dilation in Obstructive Gastrointestinal Crohn's Disease: A Prospective Long-Term Study

2000 ◽  
Vol 6 (2) ◽  
pp. 67-75 ◽  
Author(s):  
Toshiyuki Matsui ◽  
Keisuke Ikeda ◽  
Sumio Tsuda ◽  
Kenshi Yao ◽  
Suketo Sou ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Balloon Dilation ◽  
Long Term Results ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Anastomotic Strictures ◽  
Gastrointestinal Lesions ◽  
Prior Surgery

Background The short- and long-term results of balloon dilation therapy in Crohn's patients with non-anastomotic obstructive gastrointestinal lesions are investigated.Materials and methods Fifty-five patients with Crohn's disease who had obstructive gastrointestinal lesions were treated prospectively by endoscopic balloon dilation.Short-term results Eight of the initial dilations were unsuccessful giving no symptomatic relief (14.5%).Long-term results The subjects of the long-term prognosis were 40 cases followed up for more than 6 months (average 37 months) and their strictures were non-anastomotic in more than half (59%). Avoidance of surgery, was possible in 31 of 40 patients (78%). Surgery was avoided in 92%, 81% and 77% of patients after one, two, and three years, respectively (Kaplan–Meier's method). There was no difference in long-term outcome between anastomotic strictures and strictures in the absence of prior surgery.Conclusion Our results suggest that, (1) strictures in the absence of prior surgery might be treated in this way as well as anastomotic strictures; (2) if followed for a prolonged time period, more than 70% of patients, who have undergone balloon dilation for obstructive gastrointestinal Crohn's disease, may be able to avoid surgery.

Long-term results of percutaneous balloon valvuloplasty in neonatal critical pulmonary valve stenosis: a 20-year, single-centre experience

2017 ◽  
Vol 27 (7) ◽  
pp. 1314-1322
Author(s):  
Petra Loureiro ◽  
Barbara Cardoso ◽  
Inês B. Gomes ◽  
José F. Martins ◽  
Fátima F. Pinto
Keyword(s):  
Pulmonary Valve ◽  
Pressure Ratio ◽  
Balloon Valvuloplasty ◽  
Long Term Results ◽  
Pulmonary Valve Stenosis ◽  
Single Centre ◽  
Percutaneous Balloon ◽  
Percutaneous Balloon Valvuloplasty

AbstractIntroductionPercutaneous balloon valvuloplasty is the primary treatment for critical pulmonary valve stenosis in neonates. Thus far, a few studies have reported long-term results of this technique in neonatal critical pulmonary valve stenosis.MethodsWe carried out a retrospective study of all consecutive newborns with critical pulmonary valve stenosis subjected to percutaneous balloon valvuloplasty at a single centre, between 1994 and 2014, to assess its immediate and long-term safety and efficacy.ResultsA total of 24 neonates presented with critical pulmonary valve stenosis. The mean diameter of the pulmonary annulus was 7 mm (±1.19); 33.3% had a dysplastic pulmonary valve, and 92% were started on prostaglandin E1 treatment. Percutaneous balloon valvuloplasty was performed at a mean age of 4.0±4.3 days using, on average, a balloon-to-pulmonary annulus ratio of 1.18 mm (with a range from 0.9 to 1.43). Immediate success was achieved in 22/24 patients (92%) with a reduction in the pulmonary transvalvular peak gradient (p<0.05) and in the right ventricle/systemic pressure ratio (p<0.05). There was one death (4%) 6 days after the procedure, and 29.2% of them had transient rhythm complications. For a mean follow-up time of 8.4 years, the re-intervention rate was 42.9%. In total, 14 re-interventions were performed in nine neonates, including surgery in six. Freedom from re-intervention was 50% at 8 years and 43% at 10 and 15 years.ConclusionThis series, to the best of our knowledge, has had the longest follow-up of neonates with critical pulmonary valve stenosis. Percutaneous balloon valvuloplasty is a safe and effective treatment, and in our study 75% of the patients were exclusively treated using this technique.

Benign Anastomotic Strictures After Esophagectomy: Long-Term Effectiveness of Balloon Dilation and Factors Affecting Recurrence in 155 Patients

2012 ◽  
Vol 198 (5) ◽  
pp. 1208-1213 ◽  
Author(s):  
Ju Yang Park ◽  
Ho-Young Song ◽  
Jin Hyoung Kim ◽  
Jung-Hoon Park ◽  
Han Kyu Na ◽  
...  
Keyword(s):  
Balloon Dilation ◽  
Factors Affecting ◽  
Anastomotic Strictures

Long-Term Results of Balloon Dilation of Benign Bile Duct Strictures

2003 ◽  
Vol 44 (2) ◽  
pp. 147-150 ◽  
Author(s):  
L. Suman ◽  
E. M. Civelli ◽  
G. Cozzi ◽  
M. Milella ◽  
R. Meroni ◽  
...  
Keyword(s):  
Bile Duct ◽  
Balloon Dilation ◽  
Long Term Results

Through-the-scope balloon dilation for pyloric stenosis: long-term results

1996 ◽  
Vol 43 (2) ◽  
pp. 98-101 ◽  
Author(s):  
James Y.W. Lau ◽  
S.C.Sydney Chung ◽  
Joseph J.Y. Sung ◽  
A.C.W. Chan ◽  
E.K.W. Ng ◽  
...  
Keyword(s):  
Pyloric Stenosis ◽  
Balloon Dilation ◽  
Long Term Results

scholarly journals Comparative characteristics of reconstructive surgery and percutaneous balloon dilatation in the treatment of high benign strictures of the bile ducts

2020 ◽  
Vol 25 (2) ◽  
pp. 137-144
Author(s):  
S. A. Trifonov ◽  
Yu. A. Kovalenko ◽  
A. B. Varava ◽  
R. Z. Ikramov ◽  
Yu. A. Stepanova ◽  
...  
Keyword(s):  
Bile Ducts ◽  
Treatment Options ◽  
Long Term Results ◽  
High Recurrence Rate ◽  
Percutaneous Interventions ◽  
Percutaneous Balloon ◽  
Reconstructive Operations ◽  
Type 3

Aim: to compare the long-term results of various surgical treatment options for patients with high benign strictures of the bile ducts.Materials and methods. From 2012 to 2018, 87 patients with strictures of different levels according to the classification of E.I. Halperinwas observed. A stricture of type «0» was detected in 23 patients, type «−1» in 20, type «−2» in 31, type «−3» in 13 (E3 – 43, E4 – 31, E5 – 13 according to classification Bismuth-Strasberg). Open reconstructive interventions were performed in 63 patients, 24 percutaneous endobiliary ones.Results. Long-term results were traced in 77 (89%) patients, the follow-up period after reconstructive operations was 4.7 ± 1.6 years, after percutaneous – 2.0 ± 1.4 years. Excellent and good results according to the Terblanche classification were achieved in 31 (58%) patients after open reconstructive operations and in 18 (78%) after percutaneous transhepatic biliary drainage.Conclusion. Technically the most difficult for reconstructive and percutaneous interventions on the bile ducts with a high recurrence rate are strictures of types «−2» and «−3» (E4 and E5). A comparative analysis of the long-term results of percutaneous and open interventions showed a statistically significant advantage of percutaneous interventions compared with reconstructive (p = 0.05).

scholarly journals The Role of Endoscopy in the Treatment of Biliary Complications after Orthotopic Liver Transplantation

2019 ◽  
Vol 29 (1) ◽  
pp. 62-67
Author(s):  
Alexey V. Kurenkov ◽  
Yury S. Teterin ◽  
Oleg D. Olisov ◽  
Petr A. Yartsev ◽  
Murad S. Novruzbekov ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Orthotopic Liver Transplantation ◽  
Endoscopic Treatment ◽  
Biliary Complications ◽  
Long Term Results ◽  
Biliary Strictures ◽  
Anastomotic Strictures ◽  
Invasive Method ◽  
Nasobiliary Drainage

Aim:to improve the results of treating patients with anastomotic biliary strictures of the bile ducts after orthotopic liver transplantation.Materials and methods.This study is based on the results of the endoscopic treatment of 36 patients with biliary complications after orthotopic liver transplantation, who were admitted to the N.V. Sklifosovsky Research Institute for Emergency Medicine from December 2001 to December 2017. The endoscopic treatment program included diagnostic ERCP, endoscopic papillosphincterotomy (EPST), bilioduodenal stenting, nasobiliary drainage, balloon dilatation.Results.Against the background of the staged endoscopic treatment, the stable remission of anastomotic biliary strictures (ABS) was achieved in 17 (53.1 %) patients, with 4 of them (12.5 %) showing a successfully resolved insufficiency of biliobiliary anastomosis (BBA). The average duration of endoscopic treatment was 12 ± 1.9 months. The number of ERCPs performed for each patient varied from 1 to 12 and averaged 3. In the majority of patients (75 %) who received one or more courses of endoscopic treatment, a successful correction of anastomotic strictures with no recurrence within 2–5 years was achieved.Conclusion.Staged endoscopic treatment is established to be highly effective in patients with anastomotic biliary strictures and the insufficiency of bilobiliary anastomoses occurred after orthotopic liver transplantation. Such a treatment allows good long-term results to be achieved by a minimally invasive method.

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