TRATTAMENTO ENDOSCOPICODELLE LESIONI IATROGENE E STENOSI BENIGNE DELLE VIE BILIARIFigura 2: gestione <strong>delle</strong> <strong>stenosi</strong> biliari benigne cicatriziali e post trapiantoSTENOSI BILIARI BENIGNECicatrizialiLesioni con perditadi sostanzaStenting<strong>endoscopico</strong>+/- PTCLegatura o sezionecomplessaSolo in casi selezionatiChirurgiaEndoscopiaPTCSuccessoInsuccessoFollow-upSTENOSI BILIARI BENIGNEPost trapiantoColedococoledocoanastomosiEpaticodigiunoanastomosiStenosianastomoticheStenosinonanastomotichePTCchirurgia821M. Mutignani > Trattamento <strong>endoscopico</strong> <strong>delle</strong> <strong>lesioni</strong> <strong>iatrogene</strong> e <strong>stenosi</strong> benigne <strong>delle</strong> vie biliariStentSuccesso InsuccessoFollow-up ChirurgiaStentDeficit d’organoinsuccesso dilatazioneRetrapiantoresezioneCon esordio precoce (entro 3 mesi)associata a trombosi dellaa.epaticaRetrapianto
CorrispondenzaMassimiliano MutignaniU.O.C. di Endoscopia Digestiva ChirurgicaUniversità Cattolica del Sacro CuorePoliclinico A. Gemelli di RomaL.go A. Gemelli, 1 - 00168 RomaTel. + 39 0630156580Fax + 39 0630156581e-mail: massimiliano.mutignani@rm.unicatt.itBibliografia1. Davids P, Tanka A, Rauws E, van Gulik T, van Leeuwen D, de Wit L,Verbeek P, Huibregtse K, van der Heyde MN and Tytgat G. Benign biliarystrictures: surgery or endoscopy? Annals Of Surgery 1993;217:237-43.2. Bergman J, Burgemeister L, Bruno MJ, Rauws E, Gouma DJ, Tytgat G,Huibregtse K. Long-term follow-up after biliary stent placement for postoperativebile duct <strong>stenosi</strong>s. Gastrointest Endoscopy 2001;54:154-61.3. Perri V, Familiari P, Tringali A, Boskoski I, Costamagna G. Plastic biliarystents for benign biliary diseases. Gastrointest Endoscopy Clin N Am2011;21:405-33.4. Costamagna G, Pandolfi M, Mutignani M, Spada C, Preei V. Long-termresults of endoscopic management of postoperative bile duct strictureswith increasing numbers of stents. Gastrointest Endosc 2001;54:162-8.5. Kuzela L, Oltman M, Sutka J, Hrcka R, Novotna T, Vavrecka A.Prospective follow-up of patients with bile duct strictures secondaryto laparoscopic cholecystectomy, treated endoscopically with multiplestents. Hepatogastroenterology 2005;52:1357-61.6. Costamagna G, Tringali A, Mutignani M, Perri V, Spada C, Pandolfi M,Galasso D. Endotherapy of postoperative biliary strictures with multiplestents: results after more than 10 years of follow-up. Gastrointest Endosc2010;72:551-7.7. Wu YV, Linehan DC. Bile duct Injuries in the era of laparoscpic cholecistectomies.Surg Clin N Am 2010;90:787-802.8. Kim JH, Gwon DI, Ko GY, Sung KB, Lee SK, Yoon HK, Shin JH, SongHY. Temporary placement of retrievable fully covered metallic stents versuspercutaneous balloon dilation in the treatment of benign biliary strictures. JVasc Interv Radiol 2011;22:893-9.9. van Boeckel PGA, Vleggaar FP, Siersema PD. Plastic or metal stentsfor benign extrahepatic biliary strictures: systematic review. BMCGastroenterology 2009; 9:96-110.10. Gupta R, Reddy N. Stent selection for both biliary and pancreatic stricturescaused by chronic pancreatitis: multiple plastic stents or metallic stents? JHepatobiliary Pancreat Sci 2011;18:636-9.11. Williams ED, Draganov PV. Endoscopic management of biliary stricturesafter liver transplantation. World J Gastroenterol 2009;15:3725-33.12. Farid WR, de Jonge J, Slieker JC, Zondervan PE, Thomeer MG, MetselaarHJ, de Bruin RW, Kazemier G. The importance of portal venous blood flowin ischemic-type biliary lesions after liver transplantation. Am J Transplant.2011;11:857-6213. Zoepf T, Maldonado-Lopez EJ, Hilgard P, Malago M, Broelsch CE,Treichel U, Gerken G. Balloon dilatation vs. balloon dilatation plus bile ductendoprostheses for treatment of anastomotic biliary strictures after livertransplantation. Liver Transpl. 2006;12:88-94.14. Ward EM, Kiely MJ, Maus TP, Wiesner RH, Krom RA. Hilar biliary stricturesafter liver transplantation: cholangiography and percutaneous treatment.Radiology. 1990;177:259-63.15. Verdonk RC, Buis CI, van der Jagt EJ, Gouw AS, Limburg AJ, Slooff MJ,Kleibeuker JH, Porte RJ, Haagsma EB. Nonanastmotic biliary stricturesafter liver transplantation, part 2: management, outcome, and risk factorsfor disease progression. Liver Transpl 2007;13:725-32.16. Bakhru MR, Kahaleh M. Expandable metal stent for benign biliary diseaes.Gastrointest Endoscopy Clin N Am 2011;21:447-62.17. Chaput U, Scatton O, Bichard P, Ponchon T, Chryssostalis A, GaudricM, Mangialavori L, Duchmann JC, Massault PP, Conti F, Calmus Y,Chaussade S, Soubrane O, Prat F. Temporary placement of partiallycovered self-expandable metal stents for anastomotic biliary stricturesafter liver transplantation: a prospective, multicenter study. GastrointestEndosc 2010;72:1167-74.18. Phillips MS, Bonatti H, Sauer BG, Smith L, Javaid M, Kahaleh M, SchmittT. Elevated stricture rate following the use of fully covered self-expandablemetal biliary stents for biliary leaks following liver transplantation.Endoscopy 2011;43:512-7.19. Frulloni L, Falconi M, Gabbrielli A, Gaia E, Graziani R, Pezzilli R, UomoG, Andriulli A, Balzano G, Benini L, Calculli L, Campra D, Capurso G,Cavestro GM, De Angelis C, Ghezzo L, Manfredi R, Malesci A, MarianiA, Mutignani M, Ventrucci M, Zamboni G, Amodio A, Vantini I; ItalianAssociation for the Study of the Pancreas (AISP), Bassi C, Delle FaveG, Frulloni L, Vantini I, Falconi M, Frulloni L, Gabbrielli A, Graziani R,Pezzilli R, Capurso IV, Cavestro GM, De Angelis C, Falconi M, Gaia E,Ghezzo L, Gabbrielli A, Graziani R, Manfredi R, Malesci A, Mariani A,Mutignani M, Pezzilli R, Uomo G, Ventrucci M, Zamboni G, Vantini I,Magarini F, Albarello L, Alfieri S, Amodio A, Andriulli A, Anti M, ArcidiaconoP, Baiocchi L, Balzano G, Benini L, Berretti D, Boraschi P, Buscarini E,Calculli L, Carroccio A, Campra D, Celebrano MR, Capurso G, CasadeiR, Cavestro GM, Chilovi F, Conigliaro R, Dall’Oglio L, De Angelis C, DeBoni M, De Pretis G, Di Priolo S, Di Sebastiano PL, Doglietto GB, FalconiM, Filauro M, Frieri G, Frulloni L, Fuini A, Gaia E, Ghezzo L, Gabbrielli A,Graziani R, Loriga P, Macarri G, Manes G, Manfredi R, Malesci A, MarianiA, Massucco P, Milani S, Mutignani M, Pasquali C, Pederzoli P, PezzilliR, Pietrangeli M, Rocca R, Russello D, Siquini W, Traina M, Uomo G,Veneroni L, Ventrucci M, Zilli M, Zamboni G. Italian consensus guidelinesfor chronic pancreatitis. Dig Liv Dis 2010;42(6):S381-S40620. Kalvaria I, Bornman PC, Marks IN, Girdwood AH, Bank L, Kottler RE.The spectrum and natural history of common bile duct <strong>stenosi</strong>s in chronicalcohol-induced pancreatitis. Ann Surg 1989;210:608-13.21. Draganov P, Toskes PP. Chronic pancreatitis. Curr Opin Gastroenterol2002;18(5):558-62.22. Catalano MF, Linder JD, George S, Alcocer E, Geenen JE. Treatmentof symptomatic distal common bile duct <strong>stenosi</strong>s secondary to chronicpancreatitis: comparison of single vs. multiple simultaneous stents.Gastrointest Endosc 2004 Dec;60(6):945-52.23. Pozsár J, Sahin P, László F, Forró G, Topa L. Medium-term results ofendoscopic treatment of common bile duct strictures in chronic calcifyingpancreatitis with increasing numbers of stents. J Clin Gastroenterol. 2004Feb;38(2):118-23.24. Sauer BG, Regan KA, Srinivasan I, Shami VM. Temporary placement ofcovered self-expandable metal stents (SEMS) in benign biliary strictures(BBS): eight years of experience. Gastrointest Endosc 2010;71:AB110-1.25. Gluck M, Cantone NR, Brandabur JJ, Patterson DJ, Bredfeldt JE, KozarekRA. A twenty-year experience with endoscopic therapy for symptomaticprimary sclerosing cholangitis. J Clin Gastroenterol 2008;42:1032-9..26. Gotthardt DN, Rudolph G, Klöters-Plachky P, Kulaksiz H, Stiehl A.Endoscopic dilation of dominant stenoses in primary sclerosing cholangitis:outcome after long-term treatment. Gastrointest Endosc 2010;71:527-34.LUNEDì Giorn Ital 2 OTTOBRE End Dig 2012;35:77-83- I SESSIONE83 15
Change language