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Treatment of post-cholecystectomy bile duct strictures--push or sidestep?
1Department of Surgical Gastroenterology, Sir Ganga Ram Hospital, New Delhi, India.
Abstract:
Management of post-cholecystectomy bile duct strictures can be complex. Traditional treatment has been surgical reconstruction. In recent years endoscopic stenting has been successful in a selected subgroup of patients with iatrogenic bile duct strictures. Adequate information about long-term results of endoscopic stenting as definite treatment for such strictures is still awaited. Surgery is a reliable and time-tested method and results of numerous studies show its long-term success in relieving biliary obstruction with minimal morbidity.
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