Frequently, liver tumours grow to such a big size that they exercise pressure on and obstruct biliary ducts or infiltrate them, so that bile drainage to the intestine is impeded. The bile then pools and enters into systemic circulation with toxic effects that might prove fatal.

In cases of obstruction, where an endoprosthesis (stent) placement is indicated, patency of biliary ducts can be secured through cholangioplasty.  Usually, the biliary duct stricture or obstruction is balloon distended and then an endoprosthesis (stent) is placed to maintain patency.

In all cases surgical approach is transcutaneous and hospitalisation usually lasts for one day. At our clinic endoprostheses (stents) are placed in biliary ducts in cases of obstructive jaundice. Decongestion of the biliary tract is immediate and bilirubin levels drastically drop within 24 hours.

Positive results are usually permanent, since the endoprosthesis (stent) remains in place for life. Patients are usually hospitalised for one day and then return home the following day.

Ask I. Dede, what can you expect from a treatment. Examines your personal file and discusses it with you

pic 26-3

Balloon and Stent Placement Cholangioplasty