Benign biliary strictures pdf file

Hepaticojejunostomy is the procedure of choice for repair of a bile duct injury benign biliary stricture. However, the differentiation of benign and malignant strictures is notoriously difficult. Quarterly publication of the hellenic society of gastroenterology, volume 26. Endoscopic treatment of benign biliary strictures using. Discrimination between benign and malignant biliary strictures is difficult, with 5.

The unique stent design, with an integrated retrieval loop. Treatment aims to relieve symptoms of biliary obstruction, maintain longterm drainage, and preserve liver function. Surgery is a valid option in cases of complete transection or ligation of the common bile duct, in selected patients with benign strictures related to chronic. Pdf current treatment of benign biliary strictures researchgate.

Pdf benign biliary strictures bbss may form from chronic. Cholecystectomy and orthotopic liver transplantation olt are the most common iatrogenic causes of benign biliary stricture. How to differentiate benign from malignant bile duct. This is a tube that moves bile from the liver to the small intestine. A metallic biliary stent system for benign strictures is a prescription device intended for the treatment of benign biliary strictures. Biliary stricture can be seen with a wide array of nonneoplastic causes. Asiapacific consensus guidelines for endoscopic management of. Benign hilar bile duct strictures resected as perihilar. Other benign diseases of the biliary tract ercp is indicated for the evaluation and treatment of benign biliary strictures, congenital bile duct abnormalities, and postoperative adverse events such as anastomotic strictures and biliary leaks. This expanded indication represents a significant clinical milestone in achieving optimal treatment strategies for chronic pancreatitis patients suffering from bile duct strictures. Management of benign biliary stricture remains a challenge for both surgeons and therapeutic endoscopists. The biliary stents are intended to be left indwelling for a limited amount of time and subsequently removed. This is a pdf file of an unedited manuscript that has been accepted for publication. A bile duct stricture is an abnormal narrowing of the common bile duct.

Metallic biliary stent system for benign strictures. Endoscopic treatment of benign biliary strictures using covered selfexpandable metal stents csems. Pdf endoscopy is a widely used approach for the treatment of benign biliary strictures. The treatment of many such strictures is endoscopic with evolving new. A, b examples of distal common bileduct strictures associated with chronic. The main etiology of bile duct strictures closely related to the liver is a malignancy cancer.

Hepaticojejunostomy is the procedure of choice for repair of a bile duct injurybenign biliary stricture. In western countries, iatrogenic stricture is the most common benign biliary stricture and accounts for up to 80% of all benign strictures 1, 2. Request pdf benign biliary strictures benign bile duct strictures are usually iatrogenic and result from surgery near the porta hepatis. Irani s, baron th, akbar a, lin os, gluck m, gan i et al. Ercp wih biliary sphincterotomy and stenting for palliative purpose duration. Most common benign biliary strictures amandable to. The role of ercp in benign diseases of the biliary tract. Traditionally, surgery is considered the mainstay of. Benign biliary stricture is regarded as a main factor influencing the efficacy of biliary surgery 1, 2. As a service to our customers we are providing this early version of the manuscript.