title: Benign Biliary Strictures and Leaks.
abstract: The major causes of benign biliary strictures include surgery, chronic pancreatitis, primary sclerosing cholangitis, and autoimmune cholangitis. Biliary leaks mainly occur after surgery and, rarely, abdominal trauma. These conditions may benefit from a nonsurgical approach in which endoscopic retrograde cholangiopancreatography (ERCP) plays a pivotal role in association with other minimally invasive approaches. This approach should be evaluated for any injury before deciding about the method for repair. ERCP, associated with peroral cholangioscopy, plays a growing role in characterizing undeterminate strictures, avoiding both unuseful major surgeries and palliative options that might compromise any further management.
authors.affiliation: Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, Erasme University Hospital, Université Libre de Bruxelles, 808 Route de Lennik, Brussels B 1070, Belgium. Electronic address: jacques.deviere@erasme.ulb.ac.be.
authors.forename: Jacques
authors.initials: J
authors.lastname: Devière
mesh_terms: D001659:Biliary Tract / Q000293:injuries / Q000473:pathology*; D001662:Biliary Tract Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods*; D015209:Cholangitis, Sclerosing / Q000150:complications; D002779:Cholestasis / Q000209:etiology / Q000601:surgery; D003251:Constriction, Pathologic / Q000209:etiology / Q000601:surgery; D006801:Humans; D050500:Pancreatitis, Chronic / Q000150:complications; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*
keywords: Bile leaks; Biliary stenosis; Biliary stents; Cholangioscopy; ERCP