Benign biliary strictures: current endoscopic management

2011 ◽  
Vol 8 (10) ◽  
pp. 573-581 ◽  
Author(s):  
Sergio Zepeda-Gómez ◽  
Todd H. Baron
Keyword(s):  
Endoscopic Management ◽  
Biliary Strictures ◽  
Benign Biliary Strictures

Endoscopic Management of Benign Biliary Strictures After Liver Transplantation

2019 ◽  
Vol 25 (2) ◽  
pp. 323-335 ◽  
Author(s):  
Alberto Larghi ◽  
Andrea Tringali ◽  
Mihai Rimbaş ◽  
Federico Barbaro ◽  
Vincenzo Perri ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Endoscopic Management ◽  
Biliary Strictures ◽  
Benign Biliary Strictures

A prospective study of fully covered metal stents for different types of refractory benign biliary strictures

Endoscopy ◽  
2020 ◽  
Vol 52 (05) ◽  
pp. 368-376 ◽  
Author(s):  
Tatsuya Sato ◽  
Hirofumi Kogure ◽  
Yousuke Nakai ◽  
Kazunaga Ishigaki ◽  
Ryunosuke Hakuta ◽  
...  
Keyword(s):  
Adverse Events ◽  
Prospective Study ◽  
Endoscopic Management ◽  
Metal Stents ◽  
Biliary Strictures ◽  
Surgically Altered Anatomy ◽  
Anastomotic Strictures ◽  
Benign Biliary Strictures ◽  
Long Term Treatment ◽  
Stricture Recurrence

Abstract Background While endoscopic management of benign biliary strictures (BBSs) is the standard of care, long-term treatment remains the issue in refractory cases, especially for anastomotic strictures after living-donor liver transplantation (LDLT) and hepaticojejunostomy anastomotic strictures (HJAS). The aim of this prospective study was to evaluate the safety and effectiveness of a fully covered self-expandable metal stent (FCSEMS) for patients with refractory BBSs. Methods Patients with BBSs that were unamenable to endoscopic plastic stent placement with a treatment period of more than 6 months were eligible. An FCSEMS was placed endoscopically and removed after 90 days. In patients with surgically altered anatomy, an FCSEMS was placed using a double-balloon endoscope. The primary outcome was stricture resolution at FCSEMS removal. The secondary outcomes included stricture recurrence and adverse events. Results A total of 30 patients were enrolled: the causes of their BBSs were anastomotic stricture after LDLT in 13, HJAS in 12, post-cholecystectomy in two, chronic pancreatitis in two, and post-hepatectomy in one. The technical success rate of FCSEMS placement was 100 % and all FCSEMSs were successfully removed. The rate of stricture resolution at FCSEMS removal was 96.6 % (91.7 % in the post-LDLT group and 100 % in the HJAS group). Stricture recurrence occurred in three HJAS patients (10.7 %) during a median follow-up period of 15.6 months. Adverse events were observed in 12.1 %: five cholangitis, one pancreatitis, and one perforation. Conclusion Temporary placement of an FCSEMS was a feasible and effective treatment option for refractory BBSs, especially for post-LDLT strictures and HJAS.

Asia-Pacific consensus guidelines for endoscopic management of benign biliary strictures

2017 ◽  
Vol 86 (1) ◽  
pp. 44-58 ◽  
Author(s):  
Bing Hu ◽  
Bo Sun ◽  
Qiang Cai ◽  
James Yun Wong Lau ◽  
Shuren Ma ◽  
...  
Keyword(s):  
Asia Pacific ◽  
Endoscopic Management ◽  
Consensus Guidelines ◽  
Biliary Strictures ◽  
Benign Biliary Strictures

scholarly journals Endoscopic management of difficult benign biliary and pancreatic strictures using a wire-guided cystotome: experience with 25 cases

2018 ◽  
Vol 06 (07) ◽  
pp. E797-E800 ◽  
Author(s):  
Rajesh Puri ◽  
Sumit Bhatia ◽  
Rinkesh Bansal ◽  
Randhir Sud
Keyword(s):  
Endoscopic Therapy ◽  
Clinical Success ◽  
Care Center ◽  
Tertiary Care ◽  
North India ◽  
Endoscopic Management ◽  
Biliary Strictures ◽  
Current Application ◽  
Benign Biliary Strictures ◽  
The Mean

Abstract Background and study aims Endoscopic management using standard accessories is the preferred modality for treatment of benign biliary strictures. However, with difficult strictures, there is frequently failure of endoscopic therapy. We are reporting our experience regarding use of a standard diathermic dilator (cystotome) to aid in stricture dilatation and stent placement in patients with difficult strictures. Patients and methods Data were analyzed from January 2014 to January 2017 at a single tertiary care center in North India. Total 25 patients were included. Results The mean age was 45 years (varying from 38 – 55 years). Of the 25 patients with difficult strictures, 14 (56 %) were male and 11 (44 %) were female. Further, of these, 19 had biliary and 6 had pancreatic strictures. The average time of diathermic current application was 3.5 seconds (ranging 3 – 5 seconds). Technical and clinical success were achieved in 100 % of cases. None of the patients had any procedure-related (early or delayed) major complications. Conclusion The cystotome is an extremely safe and useful accessory in benign biliary and pancreatic strictures, whereas conventional methods to negotiate stricture have failed.

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