Search research articles

Search research articles

Related Experiment Videos

Benign Biliary Strictures.

A. James Moser¹

¹Department of Surgery, University of Pittsburgh School of Medicine, Suite 300, L. S. Kaufmann Building, 3471 Fifth Avenue, Pittsburgh, PA 15213, USA. moseraj@msx.upmc.edu

Current Treatment Options in Gastroenterology

|September 19, 2001

Summary

This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same journal

Esophageal Disorders in the Older Adult.

Current treatment options in gastroenterology·2025

Same journal

Endobariatrics: a Still Underutilized Weight Loss Tool.

Current treatment options in gastroenterology·2023

Same journal

Management of Post Ablative Barrett's Esophagus: a Review of Current Practices and Look at Emerging Technologies.

Current treatment options in gastroenterology·2023

Same journal

Inflammatory Bowel Disease Therapy and Venous Thromboembolism.

Current treatment options in gastroenterology·2023

Same journal

Ileal Pouch-Anal Anastomosis in the Older Adult: a Review of Postoperative Outcomes and Pouchitis Treatment.

Current treatment options in gastroenterology·2023

Same journal

Celiac Disease in the Elderly.

Current treatment options in gastroenterology·2023

See all related articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Benign bile duct strictures, often caused by surgery, require prompt diagnosis and management. Treatment options range from surgical repair with Roux-en-Y anastomosis to less invasive methods like balloon dilation for specific cases.

Area of Science:

Gastroenterology
Surgical Oncology
Interventional Radiology

Background:

Benign bile duct strictures are typically iatrogenic, resulting from surgical procedures near the porta hepatis.
Early recognition and management are crucial to prevent complications such as bilious peritonitis.

Purpose of the Study:

To outline diagnostic and therapeutic strategies for benign bile duct strictures.
To emphasize the importance of accurate lesion definition and malignancy exclusion.

Main Methods:

Intraoperative cholangiography for suspected bile duct injury.
Surgical intervention with Roux-en-Y biliary-enteric anastomosis.
Preoperative evaluation using percutaneous transhepatic cholangiography and cross-sectional imaging (CT/MRI).

Related Experiment Videos

Non-operative management with balloon dilation or stenting for medically compromised patients.

Main Results:

Roux-en-Y biliary-enteric anastomosis is favored for optimal postoperative results in surgical cases.
Percutaneous transhepatic cholangiography combined with CT/MRI aids in preoperative evaluation.
Balloon dilation and percutaneous stenting offer viable alternatives for patients with comorbidities or as primary therapy for anastomotic strictures.

Conclusions:

Prompt diagnosis and tailored management, including surgical resection and reconstruction or interventional techniques, are essential for benign bile duct strictures.
Multidisciplinary collaboration among surgeons, endoscopists, and radiologists optimizes patient outcomes.