Endoscopic retrograde cholangiopancreatography in the management of benign biliary strictures.
Several conditions may cause benign biliary stricture formation. Intraoperative bile duct injury, most often sustained during laparoscopic cholecystectomy, is the leading cause. Although surgical bypass procedure was the traditional treatment of choice for benign extrahepatic biliary strictures, therapeutic endoscopic retrograde cholangiopancreatography has recently come into favor; however, success rates have been variable and largely dependent on the underlying etiology. Because endoscopic therapy may be unsuccessful, a multidisciplinary approach to management, with surgical or radiological intervention if necessary, should be considered.
Farah
Myriam
M
Division of Gastroenterology, Vancouver General Hospital, University of British Columbia, 2329 West Mall, Vancouver, British Columbia, Canada.
McLoughlin
Mark
M
Byrne
Michael F
MF
D001707:Biopsy, Needle; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods*; D002779:Cholestasis / Q000473:pathology* / Q000601:surgery*; D001651:Cholestasis, Extrahepatic / Q000473:pathology / Q000601:surgery; D002780:Cholestasis, Intrahepatic / Q000473:pathology / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D018570:Risk Assessment; D016896:Treatment Outcome