Postoperative bile duct strictures
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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.
KeywordsBile Duct Common Bile Duct Balloon Dilation Hepatic Duct Clinical Pathway
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References and Recommended Reading
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- 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.PubMedGoogle Scholar