Endoscopic Management of the Bile Ducts Postoperative Scar Strictures (20-Years Experience)
An experience of endoscopic interventions in 65 postoperative benign biliary stricture patients provided during last 20 years in hospital surgery clinic №2 of RSMU followed by immediate and remote results is presented. A of common bile duct stricture was revealed in 46 patients, hepatic duct stricture - in 19. A complex of endoscopic tools (endoscopic papilloto-my, bilioduodenal drainage, bougienage, balloon dilation) allowed us to reach bile drainage recovery, resolving obstructive jaundice and cholangitis in 89.2% of cases, with completely endoscopic correction of the stricture in 72.3% of patients. Morbidity rate cane to 7.7% and mortality rate - tol.5%. Successful remote results of postoperative benign biliary strictures endoscopic management during from1to16 years observation period obtained in 35(94.6%) out of 37 patients. Endoscopic correction of postoperative biliary strictures could became the final method of treatment for majority of patients cases.