Endoscopic treatment of benign biliary strictures (BBS) with a biodegradable biliary stent (BDBS): A possible future management in chronic pancreatitis

Pancreatology ◽  
2016 ◽  
Vol 16 (3) ◽  
pp. S71
Author(s):  
Antti Siiki ◽  
Irina Rinta-Kiikka ◽  
Juhani Sand ◽  
Johanna Laukkarinen
Keyword(s):  
Chronic Pancreatitis ◽  
Endoscopic Treatment ◽  
Biliary Stent ◽  
Biliary Strictures ◽  
Benign Biliary Strictures ◽  
Future Management

scholarly journals Endoscopic management of benign biliary strictures: Possibility or exercise in futility?

2012 ◽  
Vol 03 (S 05) ◽  
pp. 033-035
Author(s):  
Pierre H. Deprez
Keyword(s):  
Liver Transplantation ◽  
Acute Pancreatitis ◽  
Chronic Pancreatitis ◽  
Gold Standard ◽  
Endoscopic Treatment ◽  
Sclerosing Cholangitis ◽  
Endoscopic Management ◽  
Success Rates ◽  
Biliary Strictures ◽  
Benign Biliary Strictures

AbstractBenign biliary strictures for which endoscopic treatment is proposed are mostly related to liver transplantation or chronic pancreatitis (one third of cases each) and, less frequently, to other causes (e. g., cholecystectomy, sphincterotomy). The question of futility of exercise may therefore be of importance before embarking in these techniques. Endoscopic treatment of iatrogenic (post-operative) benign strictures may be considered as the gold standard since 90% of success is achieved with multiple stent placement. In strictures due to chronic pancreatitis, success rates are lower and surgery may be an appropriate alternative, although it may not be futile to propose an endoscopic try, especially when strictures are related to acute pancreatitis, pseudocyst obstruction or any reversible pancreatic cause of obstruction. In sclerosing cholangitis, endoscopic management is also focused on detection of malignancy. It should therefore not be considered as a futile exercise, but indications and aims of endotherapy should be discussed in a multidisciplinary team involving gastroenterologists, radiologists, and surgical specialists.

Self-Expanding Metal Stents in Benign Biliary Strictures Due to Chronic Pancreatitis

Endoscopy ◽  
2004 ◽  
Vol 36 (05) ◽  
pp. 381-384 ◽  
Author(s):  
A. van Berkel ◽  
D. Cahen ◽  
D. van Westerloo ◽  
E. Rauws ◽  
K. Huibregtse ◽  
...  
Keyword(s):  
Chronic Pancreatitis ◽  
Metal Stents ◽  
Biliary Strictures ◽  
Benign Biliary Strictures ◽  
Self Expanding Metal Stents

scholarly journals Benign Biliary Strictures: A Systematic Review on Endoscopic Treatment Options

Diagnostics ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. 221
Author(s):  
May Y.W. Wong ◽  
Payal Saxena ◽  
Arthur J. Kaffes
Keyword(s):  
Endoscopic Treatment ◽  
Treatment Options ◽  
Treatment Algorithm ◽  
Treatment Strategies ◽  
Stent Migration ◽  
Metal Stents ◽  
Biliary Cirrhosis ◽  
Biliary Strictures ◽  
Benign Biliary Strictures ◽  
Biodegradable Stents

Benign biliary strictures can be difficult to manage. Untreated biliary strictures can lead to complications, such as chronic cholestasis, jaundice, recurrent sepsis, and secondary biliary cirrhosis, which can have severe ramifications. The management landscape is constantly evolving, with the development of modifiable self-expandable metal stents and biodegradable stents. This review critically appraises current endoscopic treatment strategies, in particular focusing on the shortfalls, such as stent migration and stricture recurrence. It also proposes a treatment algorithm based on aetiologias and the location of the strictures.

scholarly journals PTH-003 Fully Covered Self Expanding Metals Stents Are Effective In Remodelling Benign Biliary Strictures In Patients With Chronic Pancreatitis

Gut ◽  
2014 ◽  
Vol 63 (Suppl 1) ◽  
pp. A208.3-A209
Author(s):  
B Paranandi ◽  
D Joshi ◽  
GH El-Sayed ◽  
P Patel ◽  
MH Chapman ◽  
...  
Keyword(s):  
Chronic Pancreatitis ◽  
Biliary Strictures ◽  
Benign Biliary Strictures

Endoscopic Treatment of Benign Biliary Strictures Using Covered Self-Expandable Metal Stents (CSEMS)

2013 ◽  
Vol 59 (1) ◽  
pp. 152-160 ◽  
Author(s):  
Shayan Irani ◽  
Todd H. Baron ◽  
Ali Akbar ◽  
Otto S. Lin ◽  
Michael Gluck ◽  
...  
Keyword(s):  
Endoscopic Treatment ◽  
Metal Stents ◽  
Biliary Strictures ◽  
Benign Biliary Strictures
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