Advertisement

Surgery or Endoscopy for Bile Duct Strictures Secondary to Chronic Pancreatitis?

  • Katherine A. Morgan
  • Gregory A. Cote
  • David B. AdamsEmail author
Chapter
Part of the Difficult Decisions in Surgery: An Evidence-Based Approach book series (DDSURGERY)

Abstract

A terminal benign biliary stricture (BBS) is a common complication of chronic pancreatitis (CP). Historically, BBS was a surgical disease, treated with operative biliary bypass. With the advent of endoscopic retrograde cholangiopancreatography and endoscopic stenting, therapeutic endoscopy has become the primary approach to BBS. Endoscopic management has limitations, however, including unsatisfactory long term durability. Improvements in stent technology and technique are promising. Surgery can often concomitantly best address other CP related complications including pain. Surgery has higher short term morbidity but may be more durable long-term. Minimally invasive techniques in biliary bypass are feasible.

Keywords

Chronic pancreatitis Biliary stricture Bile duct stricture Jaundice ERCP Endoscopic stent Choledochoduodenostomy Choledochojejunostomy 

References

  1. 1.
    Regimbeau JM, Fuks D, Bartoli E, Fumery M, Hanes A, et al. A comparative study of surgery and endoscopy for the treatment of bile duct strictures in patients with chronic pancreatitis. Surg Endosc. 2012;26:2902–8.CrossRefPubMedGoogle Scholar
  2. 2.
    Sanders RL. Indications for and value of choledochoduodenostomy. Ann Surg. 1946;123:847–55.CrossRefPubMedCentralGoogle Scholar
  3. 3.
    Leppard WM, Shary TM, Adams DB, Morgan KA. Choledochoduodenostomy: is it really so bad? J Gastrointest Surg. 2011;15:754–7.CrossRefPubMedGoogle Scholar
  4. 4.
    Bosanquet DC, Cole M, Conway KC, Lewis M. Choledochoduodenostomy reevaluated in the endoscopic and laparoscopic era. HepatoGastroenterology. 2012;59:2410–5.PubMedGoogle Scholar
  5. 5.
    Mendes De Almeida A, Dos Santos N, et al. Choledochoduodenostomy in the management of common duct stones or associated pathology- an obsolete method? HPB Surg. 1996;10:27–33.CrossRefGoogle Scholar
  6. 6.
    Escudero-Fabre A, Escallon A, et al. Choledochoduodenostomy: analysis of 71 cases followed for 5 to 15 years. Ann Surg. 1991;213:635–42.CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Blankenstein J, Terpstra O. Early and late results following choledochoduodenostomy and choledochojejunostomy. HPB Surg. 1990;2:151–8.CrossRefGoogle Scholar
  8. 8.
    Nealon WH, Urrutia F. Long-term follow-up after bilioenteric anastomosis for benign bile duct stricture. Ann Surg. 1996;6:639–48.CrossRefGoogle Scholar
  9. 9.
    Khajanchee YS, Cassera MA, Hammill CW, Swanstrom LL, Hanson PD. Outcomes following laparoscopic choledochoduodenostomy in the management of benign biliary obstruction. J Gastrointest Surg. 2012;16:801–5.CrossRefPubMedGoogle Scholar
  10. 10.
    Jeyapalan M, Almeida J, et al. Laparoscopic choledochoduodenostomy: review of a 4-year experience with an uncommon problem. Surg Laparosc Endosc Percutaneous Tech. 2002;12:148–53.CrossRefGoogle Scholar
  11. 11.
    Howard JM, Zhang Z. Pancreaticoduodenectomy (Whipple resection) in the treatment of chronic pancreatitis. World J Surg. 1990;14:77–82.CrossRefPubMedGoogle Scholar
  12. 12.
    Frey CF, Suzuki M, Isaji S. Treatment of chronic pancreatitis complicated by obstruction of the common bile duct or duodenum. World J Surg. 1990;14:59–69.CrossRefPubMedGoogle Scholar
  13. 13.
    Izbicki JR, Bloechle C, Knoefel WT, Wilker DK, Dornschneider G, et al. Complications of adjacent organs in chronic pancreatitis managed by duodenum preserving resection of the head of the pancreas. Br J Surg. 1994;81:1351–5.CrossRefPubMedGoogle Scholar
  14. 14.
    Izbicki JR, Bloechle C, Broering DC, Broelsch CE. Reinsertion of the distal common bile duct into the resection cavity during duodenum-preserving resection of the head of the pancreas for chronic pancreatitis. Br J Surg. 1997;84:791–2.CrossRefPubMedGoogle Scholar
  15. 15.
    Cataldegirmen G, Bogoevski D, Mann O, Kaifi JT, Izbicki JR, Yekebas EF. Late morbidity after duodenum-preserving pancreatic head resection with bile duct reinsertion into the resection cavity. Br J Surg. 2008;95:447–52.CrossRefPubMedGoogle Scholar
  16. 16.
    Rebibo L, Yzet T, Cosse C, Delcenserie R, Bartoli E, Regimbeau JM. Frey procedure for the treatment of chronic pancreatitis associated with common bile duct stricture. Hepatobiliary Pancreat Dis Int. 2013;12:637–44.CrossRefPubMedGoogle Scholar
  17. 17.
    Davids PH, Rauws EA, Coene PP, Tytgat GN, Huibregtse K. Endoscopic stenting for post-operative biliary strictures. Gastrointest Endosc. 1992;38:12–8.CrossRefPubMedGoogle Scholar
  18. 18.
    Costamagna G, Pandolfi M, Mutignani M, Spada C, Perri V. Long-term results of endoscopic management of postoperative bile duct strictures with increasing numbers of stents. Gastrointest Endosc. 2001;54:162–8.CrossRefPubMedGoogle Scholar
  19. 19.
    Costamagna G, Tringali A, Mutignani M, Perri V, Spada C, Pandolfi M, Galasso D. Endotherapy of postoperative biliary strictures with multiple stents: results after more than 10 years of follow-up. Gastrointest Endosc. 2010;72:551–7.CrossRefPubMedGoogle Scholar
  20. 20.
    Deviere J, Devaere S, Baize M, et al. Endoscopic biliary drainage in chronic pancreatitis. Gastrointest Endosc. 1990;36:96–100.CrossRefPubMedGoogle Scholar
  21. 21.
    Barthet M, Bernard JP, Duval JL, Affriat C, et al. Biliary stenting in benign biliary stenosis complicating chronic calcifying pancreatitis. Endoscopy. 1994;26:569–72.CrossRefPubMedGoogle Scholar
  22. 22.
    Smits ME, Rauws EA, van Gulik TM, Gouma DJ, Tytgat GN. Long-term results of endoscopic stenting and surgical drainage for biliary stricture due to chronic pancreatitis. Br J Surg. 1996;83:764–8.CrossRefPubMedGoogle Scholar
  23. 23.
    Vitale GC, Reed Jr DN, Nguyen CT, et al. Endoscopic treatment of distal bile duct stricture from chronic pancreatitis. Surg Endosc. 2000;14:227–31.CrossRefPubMedGoogle Scholar
  24. 24.
    Farnbacher MJ, Rabenstein T, Ell C, et al. Is endoscopic drainage of common bile duct stenosis in chronic pancreatitis up to date? Am J Gastroenterol. 2000;95:1466–71.CrossRefPubMedGoogle Scholar
  25. 25.
    Eickhoff A, Jakobs R, Leonhardt A, et al. Endoscopic stenting for common bile duct stenosis in chronic pancreatitis: results and impact on long-term outcome. Eur J Gastroenterol Hepatol. 2001;13:1161–7.CrossRefPubMedGoogle Scholar
  26. 26.
    Kahl S, Zimmerman S, Genz I, Glasbrenner B, Pross M, et al. Risk factors for failure of endoscopic stenting in chronic pancreatitis: a prospective follow-up study. Am J Gastroenterol. 2003;98:2448–53.CrossRefPubMedGoogle Scholar
  27. 27.
    Catalano MF, Linder JD, George S, Alcocer E, Geenen JE. Treatment of symptomatic distal common bile duct stenosis secondary to chronic pancreatitis: comparison of single vs multiple simultaneous stents. Gastrointest Endosc. 2004;60:945–52.CrossRefPubMedGoogle Scholar
  28. 28.
    Cahen DL, van Berkel A-MM, Oskam D, et al. Long-term results of endoscopic drainage of common bile duct strictures in chronic pancreatitis. Eur J Gastroenterol Hepatol. 2005;17:103–8.CrossRefPubMedGoogle Scholar
  29. 29.
    Dragonov P, Hoffman B, Marsh W, et al. Long-term outcome in patients with benign biliary strictures treated endoscopically with multiple stents. Gastrointest Endosc. 2002;55:680–6.CrossRefGoogle Scholar
  30. 30.
    Pozsar J, Sahin P, Laszlo F, Forro G, Topa L. Medium-term results of endoscopic treatment of common bile duct strictures in chronic calcifying pancreatitis with increasing numbers of stents. J Clin Gastroenterol. 2004;38:118–23.Google Scholar
  31. 31.
    Weber A, Zellner S, Wagenpfeil S, Schneider J, Gerngross C, et al. Long-term follow-up after endoscopic stent therapy for benign biliary strictures. J Clin Gastroenterol. 2014;48:88–93.CrossRefPubMedGoogle Scholar
  32. 32.
    Cahen D, Rauws EA, Gouma DJ, et al. Removable fully covered self-expandable metal stents to prevent migration in patients with benign biliary strictures: a multicenter, prospective, comparative pilot study. Endoscopy. 2008;40:697–700.CrossRefPubMedGoogle Scholar
  33. 33.
    Behm B, Brock A, Clarke BW, et al. Partially covered self-expandable metallic stents for benign biliary strictures due to chronic pancreatitis. Endoscopy. 2009;41:547–51.CrossRefPubMedGoogle Scholar
  34. 34.
    Mahajan A, Ho H, Sauer B, et al. Temporary placement of fully covered self-expandable metal stents in benign biliary strictures: midterm evaluation. Gastrointest Endosc. 2009;70:303–9.CrossRefPubMedGoogle Scholar
  35. 35.
    Poley JW, Cahen DL, Metselaar HJ, et al. A prospective group sequential study evaluating a new type of fully covered self-expandable metal stent for the treatment of benign biliary strictures. Gastrointest Endosc. 2012;75:783–9.CrossRefPubMedGoogle Scholar
  36. 36.
    Perri V, Boskoski I, Tringali A, et al. Fully covered self-expandable metal stents in biliary strictures caused by chronic pancreatitis not responding to plastic stenting: a prospective study with 2 years of follow-up. Gastrointest Endosc. 2012;75:1271–8.CrossRefPubMedGoogle Scholar
  37. 37.
    Kahaleh M, Brijbassie A, Sethi A, et al. Multicenter trial evaluating the use of covered self-expanding metal stents in benign biliary strictures: time to revisit our therapeutic options? J Clin Gastroenterol. 2013;47:695–9.CrossRefPubMedGoogle Scholar
  38. 38.
    Deviere J, Reddy DN, Puspok A, Ponchon T, Bruno MJ, et al. Successful management of benign biliary strictures with fully covered self-expanding metal stents. Gastroenterol. 2014;147:385–95.CrossRefGoogle Scholar
  39. 39.
    Keck T, Marjanovic G, Fernandez-del Castillo C, Makowiec F, Schäfer AO, Rodriguez JR, Razo O, Hopt UT, Warshaw AL. The inflammatory pancreatic head mass: significant differences in the anatomic pathology of German and American patients with chronic pancreatitis determine very different surgical strategies. Ann Surg. 2009;249:105–10.CrossRefPubMedGoogle Scholar
  40. 40.
    Dumonceau JM, Trinagli A, Blero D, Deviere J, Laugeirs R, Heresbach D, Costamagna, European Society of Gastrointestinal Endoscopy. Biliary stenting: indications, choice of stents and results: European gastrointestinal endoscopy clinical guideline. Endoscopy. 2012;44:277–98.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Katherine A. Morgan
    • 1
  • Gregory A. Cote
    • 2
  • David B. Adams
    • 1
    Email author
  1. 1.Department of SurgeryMedical University of South CarolinaCharlestonUSA
  2. 2.Division of Gastroenterology and HepatologyMedical University of South CarolinaCharlestonUSA

Personalised recommendations