ENDOSCOPIC TREATMENT OF POSTTRAUMATIC BILIARY STRICTURES

Aim. To demonstrate the feasibilities of endoscopic treatment of iatrogenic biliary strictures.

Material and Methods. The series of 14 patients underwent endoscopic treatment of biliary strictures for the period 2014–2016. Treatment protocol included ERCP, balloon or bougie dilation of strictures followed by stenting with several plastic stents. After primary endoscopic procedure all patients underwent step-wise re-stenting procedures with minimal duration of treatment of 12 months.

Results. Technical success rate of endoscopic procedures is 100%. Step-wise endoscopic stenting was completed in 7 out of 10 followed-up patients. Clinical success determined by release of stricture was achieved in 6 out of 7 patients with complete endoscopic treatment. Intraoperative bleeding occurred in one patient that required stenting with SEMS for hemostasis. Recurrent stricture was observed in one patient and required repeated endoscopic procedure.

Conclusion. Endoscopic procedures are effective and safe treatment option for iatrogenic biliary strictures, but more wide studies are needed for appropriate assessment of the results.

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