Biliary manometric test (BMT) in evaluating the efficacy of balloon cholangioplasty for benign biliary strictures
https://doi.org/10.24884/0042-4625-2026-185-1-59-64
Abstract
METHODS AND MATERIALS. Between 2009 and 2025, BMT was used in 37 patients. In 15 patients, non-anastomotic strictures developed 4-106 (on average 17) months after OLT; in 22 patients, strictures were noted after 2-139 (on average 19) months after biliary surgery. After percutaneous biliary drainage, balloon dilatations were performed until disappearance of stricture. Upon achieving a positive X-ray result, BMT was performed.
RESULTS. Patients (n=37) received 180 (2–17, mean 6) procedures. BMT was performed after on average 10 (6–17) months. Treatment continues in 4 patients. Technical success was achieved in 30 of 33 patients (90 %), and their biliary drainage was removed in 8–22 (mean 11) months. Stricture recurrence developed in 2, also treatment was ineffective in 3; all 5 these patients underwent successful surgical biliary reconstruction. Thus, clinical success was achieved in 28 of 33 patients (85 %). Follow-up periods range from 12 to 172 (on average 51) months, with no signs of biliary hypertension. Adequate 1-yr and 4-yr biliary decompression was 100 % and 93 % after removal of the drainage on the basis of BMT.
CONCLUSION. BMT seems to be objective method to control effectiveness of balloon cholangioplasty for postoperative benign biliary strictures. In cases of good result of BMT, full 4-yr patency persists in 93% of patients.
About the Authors
A. A. Polikarpov
A. M. Granov Russian Scientific Center of Radiology and Surgical Technology
Russian Federation
Competing Interests:
Russian Federation
Polikarpov Aleksej A., Dr. of Sci. (Med.), Chief Research Fellow of the Department of Interventional Radiology and Operative Surgery
70, Leningradskaya str., Pesochny settlement, Saint Petersburg, 197758
Competing Interests:
The authors declare no conflict of interest.
T. I. Kagacheva
A. M. Granov Russian Scientific Center of Radiology and Surgical Technology
Russian Federation
Competing Interests:
Russian Federation
Kagacheva Tatyana I., Doctor of the Department of Angiography and Interventional Radiology
70, Leningradskaya str., Pesochny settlement, Saint Petersburg, 197758
Competing Interests:
The authors declare no conflict of interest.
P. G. Tarazov
A. M. Granov Russian Scientific Center of Radiology and Surgical Technology
Russian Federation
Competing Interests:
Russian Federation
Tarazov Pavel G., Dr. of Sci. (Med.), Professor, Honored Scientist, Department of Radiology, Surgery and Oncology
70, Leningradskaya str., Pesochny settlement, Saint Petersburg, 197758
Competing Interests:
The authors declare no conflict of interest.
A. V. Moiseenko
A. M. Granov Russian Scientific Center of Radiology and Surgical Technology
Russian Federation
Competing Interests:
Russian Federation
Moiseenko Andrej V., Cand. of Sci. (Med.), Doctor of the Departments of Angiography and Interventional Radiology
70, Leningradskaya str., Pesochny settlement, Saint Petersburg, 197758
Competing Interests:
The authors declare no conflict of interest.
D. A. Granov
A. M. Granov Russian Scientific Center of Radiology and Surgical Technology
Russian Federation
Competing Interests:
Russian Federation
Granov Dmitrij A., Dr. of Sci. (Med.), Professor, Honored Scientist, Academician of the RAS, Scientific Supervisor
70, Leningradskaya str., Pesochny settlement, Saint Petersburg, 197758
Competing Interests:
The authors declare no conflict of interest.
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For citations:
Polikarpov A.A., Kagacheva T.I., Tarazov P.G., Moiseenko A.V., Granov D.A. Biliary manometric test (BMT) in evaluating the efficacy of balloon cholangioplasty for benign biliary strictures. Grekov's Bulletin of Surgery. 2026;185(1):59-64. (In Russ.) https://doi.org/10.24884/0042-4625-2026-185-1-59-64
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