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Postoperative bile duct strictures

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Opinion statement

  • The management of patients with postoperative biliary stricture is a challenging problem that spans across several disciplines.

  • A team approach involving endoscopists, interventional radiologists, and biliary surgeons is crucial for the successful management of individuals with this complex problem.

  • Hepaticojejunostomy is the therapy of choice. Prolonged stenting, either through the percutaneous route or through the endoscopic retrograde route, is an alternative.

  • Stricture recurrence is not infrequent and requires lifelong follow-up.

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References and Recommended Reading

  1. A prospective analysis of 1518 laparoscopic cholecystomies. The Southern Surgeons Club. N Eng N Med 1991, 324:1073–1078.

  2. Deziel DJ, Millikan KW, Economou SG, et al.: Complications of laparoscopic cholecystectomy. a national survey of 4292 hospitals and analysis of 77,604 cases. Am J Surg 1993, 165:9–14.

    Article  PubMed  CAS  Google Scholar 

  3. Davidoff AM, Pappas TN, Murray EA, et al.: Mechanisms of major bile duct injury during laparoscopic cholecystectomy. Ann Surg 1992, 215:196–202.

    Article  PubMed  CAS  Google Scholar 

  4. Lillemoe KD, Melton GB, Cameron JL, et al.: Postoperative bile duct strictures: management and outcome in the 1990s. Ann Surgery 2000, 232:430–441. This study shows the long-term of surgical treatment of postoperative bile duct strictures.

    Article  CAS  Google Scholar 

  5. Pitt HA, Miyamoto T, Parapatis SK, et al.: Factors influencing outcome of patients with postoperative biliary strictures. Am J Surg 1982, 144:14–21.

    Article  PubMed  CAS  Google Scholar 

  6. Tocchi A, Costa G, Lepre L, et al.: The long-term outcome of hepaticojejunostomy in the treatment of benign bile duct strictures. Ann Surg 1996, 224:162–167.

    Article  PubMed  CAS  Google Scholar 

  7. Innes JT, Ferrara JJ, Carey LC: Biliary reconstruction without transanastomotic stent. Am Surg 1988, 54:27–30.

    PubMed  CAS  Google Scholar 

  8. Pellegrini CA, Thomas MJ, Way LW: Recurrent biliary stricture. Am J Surg 1984, 147:175–180.

    Article  PubMed  CAS  Google Scholar 

  9. Csendes A, Diaz C, Burdiles P, et al.: Indications and results of hepaticojejunostomy in benign strictures of the biliary tract. Hepato-Gastroenterology 1992, 39:333–336.

    PubMed  CAS  Google Scholar 

  10. Terblanche J, Worthley CS, Spence RAJ, et al.: High or low hepaticojejunostomy for bile duct strictures. Surgery 1990, 108:828–834.

    PubMed  CAS  Google Scholar 

  11. Pitt HA, Murray KP, Bowman HM, et al.: Clinical pathway implementation improves outcomes for complex biliary surgery. Surgery 1999, 126:751–758.

    PubMed  CAS  Google Scholar 

  12. Pitt HA, Kaufman SL, Coleman J, et al.: Benign postoperative biliary strictures. Operate or dilate? Ann Surg 1989, 210:417–427.

    Article  PubMed  CAS  Google Scholar 

  13. Lillemoe K, Martin SA, Cameron JL, et al.: Major bile duct injuries during laparoscopic cholecystectomy. Ann Surg 1997, 225:459–471.

    Article  PubMed  CAS  Google Scholar 

  14. Bergman JJ, Burgemeister L, Bruno MJ, et al.: Long-term follow-up after biliary stent placement for postoperative bile duct stenosis. Gastrointest Endosc 2001, 54:154–61. This study demonstrates the long-term outcome of endoscopic stenting for postoperative biliary stricture.

    PubMed  CAS  Google Scholar 

  15. Costamagna G, Pandolfi M, Mutignani M, et al.: Longterm results of endoscopic management of postoperative bile duct strictures with increasing number of stents. Gastrointest Endosc 2001, 54:162–168. This study demonstrates impressive results with increasing the number of stents for several months until the resolution of the stricture.

    PubMed  CAS  Google Scholar 

  16. Wehrmann T, Schmitt T, Caspary WF, et al.: Lokale Injektion von Depotkortikosteroiden bei der endoskopischen Therapie benigner Gallengangsstrikturen. Zeitschrift fur Gastroenterologie 2000, 38:235–241.

    Article  PubMed  CAS  Google Scholar 

  17. Dumonceau JM, Deviere J, Delhaye M, et al.: Plastic and metal stents for postoperative benign bile duct strictures: the best and the worst. Gastrointest Endosc 1998, 47:8–17.

    Article  PubMed  CAS  Google Scholar 

  18. Davids PHP, Tanka AKF, Rauws EA, et al.: Benign biliary strictures. Surgery or endoscopy? Ann Surg 1993, 217:237–243.

    Article  PubMed  CAS  Google Scholar 

  19. Lum DF, Leung JW: Bacterial Cholangitis. Curr Treat Options Gastroenterol 2001, 4:139–146.

    Article  PubMed  Google Scholar 

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Raju, G.S. Postoperative bile duct strictures. Curr Treat Options Gastro 5, 113–121 (2002). https://doi.org/10.1007/s11938-002-0058-2

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  • DOI: https://doi.org/10.1007/s11938-002-0058-2

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