Show Summary Details
Page of

Method of Increasing Luminal Scaffolding for Biliary Strictures 

Method of Increasing Luminal Scaffolding for Biliary Strictures
Method of Increasing Luminal Scaffolding for Biliary Strictures

S. Lowell Kahn

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2021. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 26 February 2021

Benign biliary strictures are a common clinical entity encountered by the interventionalist. Balloon dilatation is an acceptable modality of treatment, but restenosis is frequent. The recoil that follows balloon dilatation of recalcitrant benign biliary strictures presents a treatment challenge. This chapter presents a single-access dual-drainage catheter technique that has been employed successfully for more than 6 years. The procedure involves the standard placement of a large drainage catheter (ideally 14 Fr) across the biliary stricture. A second catheter measuring between 5 and 8.5 Fr is advanced through the hub of the 14 Fr drainage catheter and subsequently exits through a proximal hole of the 14 Fr drainage catheter. At the site of the stricture, there is side-by-side placement of the two drainage catheters providing extra scaffolding despite the 14 Fr percutaneous tract.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.