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2003, Número 3

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Anales de Radiología México 2003; 2 (3)


Resultados a largo plazo de dilatación progresiva de la vía biliar en estenosis benigna

Guerrero AGML, Navarro BR, Vásquez CL, Lemus VM, Viramontes TG, Méndez PLR

Idioma: Español
Referencias bibliográficas: 50
Paginas: 135-140
Archivo PDF: 488.15 Kb.


RESUMEN

La estenosis benigna de la vía biliar (EBVB) es una complicación poco frecuente de la colecistectomía; ya sea por laparotomía o por laparoscopia. Desde hace ocho años, en el Departamento de Radiología Vascular e Intervencionista del Hospital General de México O.D. (HGM), hemos manejado este tipo de lesiones mediante la realización inicial de una colangiografía percutánea transhepática (CPTH) con técnica de aguja fina e instalación de catéter de drenaje biliar mixto (bilio-entérico) y dilataciones progresivas desde un calibre 8 fr, hasta llegar a un 20 fr, en un lapso de 18 a 24 meses. En este reporte presentamos los resultados a largo plazo de 30 pacientes que fueron sometidos a este tipo de tratamiento. Utilizamos la técnica de cambio secuencial de catéteres, ya que hemos observado que la estenosis post-cicatricial de la vía biliar es sumamente difícil en su manejo tanto quirúrgico como por radiología intervencionista o endoscopia, por lo que elegimos este como método de elección y no a la dilatación con catéteres balón para plastía (a pesar de que en ocasiones nos auxiliamos con ellos) o la colocación de Stent metálico, para obtener un resultado duradero y con menor posibilidad de re-estenosis.


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