PERCUTANEOUS TREATMENT OF BENIGN BILIARY STRICTURES AND BILIARY MANOMETRIC PERFUSION TEST
Biomedical Papers of the Faculty of Medicine of Palacky University
Benign biliary strictures are usually treated surgically or endoscopically. When these strictures are not accessible by endoscope or when open repair is not possible, percutaneous dilatation treatment is indicated. The effi cacy of treatment is usually evaluated by clinical trial which includes leaving a small non-functional catheter in situ and following liver function tests. The evaluation may be eff ectively done by the biliary manometric perfusion test. Aim: The aim of this paper is to
... size the importance of percutaneous dilatation treatment of benign biliary strictures with focus on the role of the biliary manometric perfusion test and its future prospects. Methods and Results: Based on the literature and our own experience, this article gives a short overview of percutaneous treatment of benign biliary strictures, indications, techniques, complications and results. The treatment of these strictures has an overall success rate between 60 to 90 %. This article also explains the biliary manometric test, the technique and its importance in evaluation of treatment success. Conclusion: Benign biliary strictures of the hepatic duct junction or bilio-enteric anastomosis are diffi cult to treat surgically and are endoscopically inaccessible. Percutaneous treatment by balloon dilatation and long term externalinternal drainage is feasible in the majority of these patients. It is minimally invasive, safe and eff ective. The evaluation of the treatment success may be more eff ectively done by the manometric perfusion test. It is easy, reliable, less time-consuming giving immediate results, and relatively safe.