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.

Percutaneous Management of Benign Biliary Strictures

2021 ◽  
Vol 38 (03) ◽  
pp. 291-299
Author(s):  
Adam Fang ◽  
Il Kyoon Kim ◽  
Ifechi Ukeh ◽  
Vahid Etezadi ◽  
Hyun S. Kim
Keyword(s):  
Treatment Options ◽  
Balloon Dilation ◽  
Percutaneous Transhepatic Cholangiography ◽  
Team Approach ◽  
Biliary Strictures ◽  
Surgical Interventions ◽  
Benign Biliary Strictures ◽  
Elevated Liver Enzymes ◽  
Biodegradable Stents ◽  
Asymptomatic Disease

AbstractBenign biliary strictures are often due to a variety of etiologies, most of which are iatrogenic. Clinical presentation can vary from asymptomatic disease with elevated liver enzymes to obstructive jaundice and recurrent cholangitis. Diagnostic imaging methods, such as ultrasound, multidetector computed tomography, and magnetic resonance imaging (cholangiopancreatography), are used to identify stricture location, extent, and possible source of biliary obstruction. The management of benign biliary strictures requires a multidisciplinary team approach and include endoscopic, percutaneous, and surgical interventions. Percutaneous biliary interventions provide an alternative diagnostic and therapeutic approach, especially in patients who are not amenable to endoscopic evaluation. This review provides an overview of benign biliary strictures and percutaneous management by interventional radiologists. Diagnostic evaluation with percutaneous transhepatic cholangiography and treatment options, including biliary drainage, balloon dilation, retrievable/biodegradable stents, and other innovative minimally invasive options, are discussed.

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

scholarly journals ENDOSCOPIC TREATMENT OF POST-LIVER TRANSPLANTATION ANASTOMOTIC BILIARY STRICTURE: systematic review andmeta-analysis

2014 ◽  
Vol 51 (3) ◽  
pp. 240-249 ◽  
Author(s):  
Lucas Souto NACIF ◽  
Wanderley Marques BERNARDO ◽  
Luca BERNARDO ◽  
Wellington ANDRAUS ◽  
Lucas TORRES ◽  
...  
Keyword(s):  
Systematic Review ◽  
Liver Transplantation ◽  
Endoscopic Treatment ◽  
Clinical Success ◽  
Controlled Trial ◽  
Balloon Dilation ◽  
Plastic Stents ◽  
Metal Stents ◽  
Complication Rates ◽  
Biliary Strictures

Context Biliary strictures after liver transplantation are recognized as its Achilles’ heel. The strictures are classified in anastomotic and ischemic or non-anastomotic biliary strictures, and they figure among the most common complications after liver transplantation. There are some treatment options including balloon dilation, the placement of multiple plastic stents and the placement of self-expandable metal stents and all of them seem to have good results. Objectives The aim of this study was to systematically review the literature concerning the results of the endoscopic treatment of anastomotic biliary strictures after liver transplantation. Methods A systematic review of the literature was performed on the management of anastomotic biliary strictures post- orthotopic liver transplantation. The Medline-PubMed, EMBASE, Scielo-LILACS, and Cochrane Databases were electronically searched from January 1966 to April 2013. Results No well-designed randomized controlled trial was found. Most studies were retrospective or prospective comparisons in design. One study (86 patients) compared the endoscopic and the percutaneous accesses. The sustained clinical success rates were similar but the treatment duration was longer in the percutaneous group access. Two studies (56 patients) compared balloon dilation with balloon dilation and multiple plastic stents. There were no differences concerning sustained clinical success and complication rates. Conclusions Balloon dilation is as effective as balloon dilation plus multiple plastic stenting for the resolution of the anastomotic biliary strictures. Well-designed randomized trials are still needed to compare balloon dilation versus multiple plastic stenting versus metallic stenting.

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 Temporary Placement of Fully Covered Self-expandable Metal Stents in Benign Biliary Strictures

2013 ◽  
Vol 62 (1) ◽  
pp. 49 ◽  
Author(s):  
Choong Heon Ryu ◽  
Myung-Hwan Kim ◽  
Sang Soo Lee ◽  
Do Hyun Park ◽  
Dong-Wan Seo ◽  
...  
Keyword(s):  
Metal Stents ◽  
Biliary Strictures ◽  
Benign Biliary Strictures

Difficult removal of fully covered Self Expandable Metal Stents (SEMS) for benign biliary strictures: The “SEMS in SEMS” technique

2014 ◽  
Vol 46 (6) ◽  
pp. 568-571 ◽  
Author(s):  
Andrea Tringali ◽  
Daniel Blero ◽  
Ivo Boškoski ◽  
Pietro Familiari ◽  
Vincenzo Perri ◽  
...  
Keyword(s):  
Metal Stents ◽  
Biliary Strictures ◽  
Benign Biliary Strictures

Biodegradable stents in the treatment of benign biliary strictures: Does one size fit all?

2017 ◽  
Vol 29 (6) ◽  
pp. 731-732 ◽  
Author(s):  
Aydin Seref Koksal ◽  
Ahmet T. Eminler ◽  
Erkan Parlak
Keyword(s):  
Biliary Strictures ◽  
Benign Biliary Strictures ◽  
Biodegradable Stents
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