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

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Difficult Decisions in Hepatobiliary and Pancreatic Surgery

Part of the book series: Difficult Decisions in Surgery: An Evidence-Based Approach ((DDSURGERY))

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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.

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Author information

Authors and Affiliations

  1. Department of Surgery, Medical University of South Carolina, 114 Doughty Street, Ste 249, MSC 295, Charleston, SC, 29425, USA

    Katherine A. Morgan & David B. Adams

  2. Division of Gastroenterology and Hepatology, Medical University of South Carolina, 25 Courtenay Drive, Charleston, SC, 29425, USA

    Gregory A. Cote

Authors
  1. Katherine A. Morgan
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  2. Gregory A. Cote
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  3. David B. Adams
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Corresponding author

Correspondence to David B. Adams .

Editor information

Editors and Affiliations

  1. The University of Chicago, CHICAGO, Illinois, USA

    J. Michael Millis

  2. The University of Chicago, CHICAGO, Illinois, USA

    Jeffrey B. Matthews

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Morgan, K.A., Cote, G.A., Adams, D.B. (2016). Surgery or Endoscopy for Bile Duct Strictures Secondary to Chronic Pancreatitis?. In: Millis, J., Matthews, J. (eds) Difficult Decisions in Hepatobiliary and Pancreatic Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-319-27365-5_26

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  • DOI: https://doi.org/10.1007/978-3-319-27365-5_26

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-27363-1

  • Online ISBN: 978-3-319-27365-5

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