Treatment of intrahepatic biliary stricture associated with hepatolithiasis.
Biliary stricture is a difficult complication in the management of hepatolithiasis. Resection of the hepatic segment containing biliary stricture(s) is ideal. Dilatation and stenting therapy with PTCSL in selective cases is a good adjuvant, sometimes alternative, therapy. We recommend a combination of multimodal treatment with a systemic approach to improve results. For recurrent or residual cases, PTCSL becomes the mainstay of treatment.
Jeng
K S
KS
Mackay Memorial Hospital, Taipei, Taiwan, Republic of China.
D000328:Adult; D001649:Bile Duct Diseases / Q000145:classification / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy; D001653:Bile Ducts, Intrahepatic / Q000473:pathology / Q000601:surgery*; D002758:Cholangiography; D002769:Cholelithiasis / Q000601:surgery* / Q000628:therapy; D003131:Combined Modality Therapy; D003251:Constriction, Pathologic / Q000145:classification / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy; D004106:Dilatation; D004724:Endoscopy; D016145:Endoscopy, Digestive System; D006498:Hepatectomy; D006801:Humans; D008875:Middle Aged; D012008:Recurrence; D015607:Stents