Treatment of post-cholecystectomy bile duct strictures--push or sidestep?
Management of post-cholecystectomy bile duct strictures can be complex. Traditional treatment has been surgical reconstruction. In recent years endoscopic stenting has been successful in a selected subgroup of patients with iatrogenic bile duct strictures. Adequate information about long-term results of endoscopic stenting as definite treatment for such strictures is still awaited. Surgery is a reliable and time-tested method and results of numerous studies show its long-term success in relieving biliary obstruction with minimal morbidity.
Chaudhary
Adarsh
A
Department of Surgical Gastroenterology, Sir Ganga Ram Hospital, New Delhi, India.
D001652:Bile Ducts / Q000293:injuries*; D002763:Cholecystectomy / Q000009:adverse effects*; D003251:Constriction, Pathologic / Q000209:etiology; D004724:Endoscopy; D006801:Humans; D007431:Intraoperative Complications; D011183:Postoperative Complications / Q000601:surgery; D017211:Treatment Failure