Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Interventions for benign biliary strictures].

A Lubienski1, M Duex, K Lubienski

  • 1Institut für Radiologie, Campus Lübeck des Universitätsklinikums Schleswig-Holstein. lubienski@radiologie.uni-luebeck.d

Der Radiologe
|October 29, 2005
PubMed
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 author

Transarterial chemoembolisation with irinotecan (irinotecan-TACE) as salvage or post-inductive therapy for colorectal cancer liver metastases: effectiveness results from the CIREL study.

ESMO open·2025
Same author

Transarterial Radioembolisation with Y90 Resin Microspheres and the Effect of Reimbursement Criteria in France: Final Results of the CIRT-FR Prospective Observational Study.

Cardiovascular and interventional radiology·2025
Same author

Left atrial appendage volume is an independent predictor of atrial arrhythmia recurrence following cryoballoon pulmonary vein isolation in persistent atrial fibrillation.

Frontiers in cardiovascular medicine·2023
Same author

[Luminal diagnostics].

Radiologie (Heidelberg, Germany)·2023
Same author

Zeitschrift fur Gastroenterologie·2022
Same author

Zeitschrift fur Gastroenterologie·2022
Same journal

Der Radiologe·2024
Same journal

Der Radiologe·2024
Same journal

Der Radiologe·2024
Same journal

Der Radiologe·2024
Same journal

Der Radiologe·2022
Same journal

Der Radiologe·2022
See all related articles

Benign biliary strictures, often caused by surgery, present diagnostic and treatment challenges. Noninvasive MRCP is key for diagnosis, while interventions like balloon dilation offer long-term patency but risk recurrence.

Area of Science:

  • Gastroenterology and Hepatology
  • Interventional Radiology
  • Biliary System Diseases

Background:

  • Benign biliary strictures (BBS) are a significant clinical challenge, potentially leading to severe complications like biliary liver cirrhosis.
  • Iatrogenic causes, primarily post-hepatobiliary surgery, account for 95% of BBS cases, highlighting the impact of surgical interventions.
  • The cicatricial fibrotic nature of most BBS predisposes them to recurrence, even after successful treatment.

Purpose of the Study:

  • To review the diagnostic and therapeutic strategies for benign biliary strictures.
  • To evaluate the efficacy and outcomes of interventional procedures for BBS management.
  • To highlight the challenges associated with BBS, including diagnosis, treatment, and recurrence.

Main Methods:

Related Experiment Videos

  • Noninvasive diagnosis primarily utilizes magnetic resonance cholangiopancreatography (MRCP).
  • Invasive techniques like ERCP and PTC are reserved for ambiguous cases prior to intervention.
  • Treatment involves surgical and interventional procedures, tailored to stricture location and etiology.

Main Results:

  • Interventional methods (balloon dilation, stenting, drainage) achieve patency rates of up to 75% at 5 years and 55% at 12 years.
  • These interventions have a low total complication rate, ranging from 5% to 8%.
  • Recurrence rates for BBS after interventional therapy can be high, up to 66%, depending on stricture localization.

Conclusions:

  • MRCP is the preferred noninvasive diagnostic tool for benign biliary strictures.
  • Interventional therapies offer durable patency for biliary strictures, particularly short-segment main bile duct strictures.
  • High recurrence rates necessitate careful patient selection and long-term follow-up for benign biliary strictures.