RESULTS OF ENDOSCOPIC TREATMENT OF POSTTRAUMATIC BILIARY STRICTURES
Background. Intraoperative bile duct injury is a serious and potentially life-threatening complication in post-operative period. The treatment of surgical trauma is complex and multiple. The incidence of disability is up to 50 % and duration of treatment is up to 42 weeks. Objective. To estimate the feasibilities of endoscopic treatment of iatrogenic biliary strictures. Material and methods. The series of 19 patients underwent endoscopic treatment of iatrogenic biliary strictures in a period from 2014 to 2017. Treatment protocol included: ERCP, balloon and bougie dilation of strictures followed by stenting with several plastic stents or stenting with one full cover metallic stent. After primary endoscopic procedure all patients underwent step-wise restenting procedures with increasing number of plastic stents. Results. The technical success rate of endoscopic procedures is 100 %. The step-wise endoscopic stenting was completed in 12 out of 16 followed-up patients. The clinical success rate which imlicates full release of the stricture was in 12 out of 12 patients with complete endoscopic treatment. The intraoperative complication included bleeding in one patient, which required stenting with SEMS for hemostasis. The late postoperative complication included new stricture at the upper level was observed in two patients. The recurrent choledoholithiasis was observed in one patients. Conclusion. Endoscopic procedures are effective and safe treatment option for iatrigenic biliary strictures, but more prolonged studies are needed for appropriate assessment of the long-term results.