Mechanism of continence after endoscopic bladder neck suspension

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Title:	Mechanism of continence after endoscopic bladder neck suspension
Authors:	Chen, HY;Lin, WC;Tsai, HD
Contributors:	附設醫院婦產部;China Med Coll Hosp, Dept Obstet & Gynecol, Taichung, Taiwan
Date:	1999
Issue Date:	2010-09-24 14:47:07 (UTC+8)
Publisher:	MARY ANN LIEBERT INC PUBL
Abstract:	OBJECTIVE: We aimed to study the effect of the metallic modified Gianturco-Rosch Z-stent in the management of refractory intrahepatic long-segment biliary strictures with hepatolithiasis. METHODS: Six symptomatic patients with hepatolithiasis and coexisting intrahepatic long-segment biliary strictures, who failed to respond to the silastic external-internal biliary stenting, were selected. The metallic modified Gianturco-Rosch Z-stent was placed via percutaneous transhepatic cholangiography at the strictured site. Patients were followed regularly to evaluate for recurrence of cholangitis, stones, or strictures. RESULTS: No complications were observed during the procedures. No recurrent strictures or formed calculi were found in these six patients during follow-up periods of 29 to 64 months. However, cholangitis and intrahepatic biliary muddy sludge occurred at 7 and 30 months in two patients after the placement of the metallic Z-stent. Percutaneous transhepatic cholangioscopy was used to clear sludge completely. CONCLUSIONS: Our experience suggests that the metallic stent is a well-tolerated and promising alternative in the management of refractory intrahepatic long-segment biliary strictures with hepatolithiasis. Though biliary sludge may develop, it can be detected and cleared early. Repeated surgery can thus be avoided. (Am J Gastroenterol 1999;94:3507-3512. (C) 1999 by Am. Coll. of Gastroenterology).
Relation:	JOURNAL OF GYNECOLOGIC SURGERY 15(2):87-91
Appears in Collections:	[China Medical University Hospital] Jurnal articles

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