Mejía-Duarte NA, Acuña-Aguilar N, Guerrero-Avendaño GML, Enríquez-García R, Ramos-Méndez L

Language: Spanish
References: 15
Page: 61-72
PDF size: 1413.21 Kb.

ABSTRACT

Objective: To determine the time to resolution following surgery for biliary stricture by interventionist radiology at Hospital General de Mexico, and to analyze postoperative management of biliary stricture and each patient’s evolution.
Hypothesis: Interventionist radiology will play a fundamental role in management and resolution of iatrogenic lesions of the bile duct. Long-term results will be obtained to correct postoperative stricture of the bile duct without the need for additional surgery and other complications will be avoided. Patients managed with minimal invasion by interventionist radiology will have better evolution and shorter hospital stays. Progressive dilation of stenosis in biliodigestive anastomosis will be the technique of choice for managing this complication.
Method: A retrospective, observational study will be conducted in the Hospital General de Mexico interventionist radiology service. The database of the interventionist radiology service will be analyzed. Patients with signs of postoperative complication (biliary stricture), who received care in the period from January 2012 to December 2016 will be chosen. Increase of catheter gauge will be indicated depending on replacement time (recovery time). A follow-up protocol will be established for these complications with management by interventionist radiology.
Results: In the Hospital General de Mexico interventionist radiology service, 248 bile duct bypass operations for multiple etiologies were performed from 2012 through 2016. Fourteen percent of the cases involved stenosis of the biliodigestive anastomosis. In the period observed, biliodigestive stricture was fully resolved in only 21% of patients; the rest continue in follow-up, with periodic replacements every 3 months. Interventionist Radiology plays a fundamental role in management of iatrogenic lesions of the bile duct, lowering costs and reducing morbimortality and improving patients’ quality of life.
Conclusions: Hospital General de Mexico has ample experience in management of bile duct bypass operations, offering an option for multiple complications during surgeries and in management due to malignant and benign causes.

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