Abstract
Case series on endoscopic simultaneous multiple plastic stent dilatation of strictures following iatrogenic bile duct injury
Highlights
Bile duct injuries are a devastating complication of cholecystectomy
Some reports indicate that endoscopic management is associated with increased incidence of re-stenosis, cholangitis and secondary billiary cirrhosis, Strasburg type E2 and E3 Iatrogenic bile duct injuries (IBDI) strictures are managed with serial endoscopic stenting while more severe injuries are managed with reconstructive hepatico- jejunostomy
According to guidelines placement of multiple plastic stents for benign strictures of common bile duct is possible in 90% of cases and patency rate following stenting is high as 90% in patients with post-operative biliary strictures [8]
Summary
Bile duct injuries are a devastating complication of cholecystectomy. Since introduction of LC in 1990s, Biliary injury has doubled from 0.2% to 0.4% and remains constant despite advances in technique and technology [1]. Some reports indicate that endoscopic management is associated with increased incidence of re-stenosis, cholangitis and secondary billiary cirrhosis, Strasburg type E2 and E3 IBDI strictures are managed with serial endoscopic stenting while more severe injuries are managed with reconstructive hepatico- jejunostomy. Our practice is to place simultaneous multiple Amsterdam type stents to achieve satisfactory stricture dilatation.
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