{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T07:27:41Z","timestamp":1761290861947},"reference-count":41,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[1990,9,1]],"date-time":"1990-09-01T00:00:00Z","timestamp":652147200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1990,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>To investigate the role of balloon dilatation in the management of complicated hepatolithiasis with intrahepatic biliary stricture, 57 consecutive patients who received 208 sessions of dilatation in addition to the usual treatment were analyzed. The strictures were located in the right intrahepatic ducts (84.2%), left intrahepatic ducts (12.3%), or both (3.5%). Dilatation began 3\u20134 weeks after surgery. The routes of dilatation included the matured T\u2010tube tract (3 cases), percutaneous transhepatic biliary drainage tracts (42 cases), and both (12 cases). The immediate overall success rate of complete stone clearance increased significantly from 0% predilatation to 94.7% postdilatation. The main complications of dilatation therapy consisted of septicemia (10.5%), hemobilia (10.5%), and mild diarrhea (80%). Eight patients (14%) with long\u2010segment strictures received 11 postdilatation biliary stentings. Complications were 1 patient with occlusion and 2 patients with \u201cspontaneous\u201d hemobilia. Severe multiple strictures and coexistent secondary biliary cirrhosis were the contributing factors to complications. During the follow\u2010up of 3.4\u00b11.2 years, recurrence of strictures was found in 4 patients. Two of them belonged to the stenting group. The cumulative probability of restricture was low: 4% at 2 years, 6% at 2.5 years, and 8% at 3 years. We conclude that in complicated cases of hepatolithiasis with intrahepatic biliary stricture, dilatation and stenting are good adjuvant therapies.<\/jats:p>","DOI":"10.1007\/bf01658796","type":"journal-article","created":{"date-parts":[[2005,5,8]],"date-time":"2005-05-08T18:17:09Z","timestamp":1115576229000},"page":"587-592","source":"Crossref","is-referenced-by-count":40,"title":["Dilatation of intrahepatic biliary strictures in patients with hepatolithiasis"],"prefix":"10.1002","volume":"14","author":[{"given":"Kuo\u2010Shyang","family":"Jeng","sequence":"first","affiliation":[{"name":"Department of Surgery Mackay Memorial Hospital No. 92, Sec. 2, Chung\u2010Shan North Road, Taipei 10449 Taiwan Republic of China"},{"name":"Departments of Radiology Mackay Memorial Hospital Taipei Taiwan Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fi\u2010Sh","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Surgery Mackay Memorial Hospital No. 92, Sec. 2, Chung\u2010Shan North Road, Taipei 10449 Taiwan Republic of China"},{"name":"Departments of Radiology Mackay Memorial Hospital Taipei Taiwan Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ikuho","family":"Ohta","sequence":"additional","affiliation":[{"name":"Department of Surgery Mackay Memorial Hospital No. 92, Sec. 2, Chung\u2010Shan North Road, Taipei 10449 Taiwan Republic of China"},{"name":"Departments of Radiology Mackay Memorial Hospital Taipei Taiwan Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hsein\u2010Jar","family":"Chiang","sequence":"additional","affiliation":[{"name":"Department of Surgery Mackay Memorial Hospital No. 92, Sec. 2, Chung\u2010Shan North Road, Taipei 10449 Taiwan Republic of China"},{"name":"Departments of Radiology Mackay Memorial Hospital Taipei Taiwan Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1990,9]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01658361"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.163.3.3575704"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01658358"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01655262"},{"key":"e_1_2_1_6_1","first-page":"425","article-title":"Choledochoscopic electrohydraulic shock wave for treatment of residual intrahepatic stones","volume":"1","author":"Ker C.G.","year":"1985","journal-title":"Kaohsiung J. 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