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Endoscopic Management of Benign Biliary Strictures

  • Pancreas/Biliary Tract (O Haluzska, Section Editor)
  • Published:
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Abstract

Benign biliary strictures are a common indication for endoscopic retrograde cholangiopancreatography (ERCP). Endoscopic management has evolved over the last 2 decades as the current standard of care. The most common etiologies of strictures encountered are following surgery and those related to chronic pancreatitis. High-quality cross-sectional imaging provides a road map for endoscopic management. Currently, sequential placement of multiple plastic biliary stents represents the preferred approach. There is an increasing role for the treatment of these strictures using covered metal stents, but due to conflicting reports of efficacies as well as cost and complications, this approach should only be entertained following careful consideration. Optimal management of strictures is best achieved using a team approach with the surgeon and interventional radiologist playing an important role.

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Tarun Rustagi and Priya A. Jamidar declare no conflict of interest.

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Correspondence to Priya A. Jamidar.

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This article is part of the Topical Collection on Pancreas/Biliary Tract

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Rustagi, T., Jamidar, P.A. Endoscopic Management of Benign Biliary Strictures. Curr Gastroenterol Rep 17, 2 (2015). https://doi.org/10.1007/s11894-014-0422-0

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