caa a22 4500 469117710 CHVBK 20180323133129.0 cr unu---uuuuu 170328e19921101xx s 000 0 eng 10.1007/BF02734119 doi (NATIONALLICENCE)springer-10.1007/BF02734119 Metallic stents in benign biliary strictures: Three-year follow-up [Elektronische Daten] [Francesca Maccioni, Michele Rossi, Filippo Salvatori, Paolo Ricci, Mario Bezzi, Plinio Rossi] Eighteen patients with recurrent benign biliary strictures (BBS) were selected for metallic stents placement because they failed to respond to percutaneous balloon dilatation. None were candidates for surgical corrections. We used "Z” single or double stents in 17 cases and a Wallstent in 1 case. After more than 3 years of follow-up (average period 37 months, range 30-41 months), 10 patients (55.5%) were asymptomatic without signs of bile statis; 5 patients (27.7%) had recurrence of symptoms and were eventually retreated; and 3 patients (16.6%) died, 2 of obstructive jaundice and liver failure and 1 of metastatic gastric cancer. Recurrence was due to stent occlusion by tissue ingrowth in 3 cases, stent migration in 1 case, and an inflammatory lesion of the papilla of Vater in another case, with patency of the metallic stent. The overall patency rate, at 3-year follow-up was 68.7%. In our series, the main factor determining long-term patency of metallic stents has been reactive tissue ingrowth. Nevertheless, long-term results obtained with metallic stents in recurrent benign biliary strictures should be considered satisfactory. In selected patients, metallic stents may represent the only long-term treatment available for maintaining bile flow. Springer-Verlag New York Inc., 1992 Benign biliary strictures nationallicence Metallic stents nationallicence Mucosal hyperplasia nationallicence Maccioni Francesca Cattedra di Radiologia, Università «La Sapienza», 00199, Rome, Italy aut Rossi Michele Cattedra di Radiologia, Università «La Sapienza», 00199, Rome, Italy aut Salvatori Filippo Cattedra di Radiologia, Università «La Sapienza», 00199, Rome, Italy aut Ricci Paolo Cattedra di Radiologia, Università «La Sapienza», 00199, Rome, Italy aut Bezzi Mario Cattedra di Radiologia, Università «La Sapienza», 00199, Rome, Italy aut Rossi Plinio Cattedra di Radiologia, Università «La Sapienza», 00199, Rome, Italy aut CardioVascular and Interventional Radiology Springer-Verlag 15/6(1992-11-01), 360-366 0174-1551 15:6<360 1992 15 270 https://doi.org/10.1007/BF02734119 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02734119 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Maccioni Francesca Cattedra di Radiologia, Università «La Sapienza», 00199, Rome, Italy aut NATIONALLICENCE 700 1- Rossi Michele Cattedra di Radiologia, Università «La Sapienza», 00199, Rome, Italy aut NATIONALLICENCE 700 1- Salvatori Filippo Cattedra di Radiologia, Università «La Sapienza», 00199, Rome, Italy aut NATIONALLICENCE 700 1- Ricci Paolo Cattedra di Radiologia, Università «La Sapienza», 00199, Rome, Italy aut NATIONALLICENCE 700 1- Bezzi Mario Cattedra di Radiologia, Università «La Sapienza», 00199, Rome, Italy aut NATIONALLICENCE 700 1- Rossi Plinio Cattedra di Radiologia, Università «La Sapienza», 00199, Rome, Italy aut NATIONALLICENCE 773 0- CardioVascular and Interventional Radiology Springer-Verlag 15/6(1992-11-01), 360-366 0174-1551 15:6<360 1992 15 270 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer