[Endoscopic management of benign biliary strictures]

Area of Science:

• Gastroenterology and Hepatology
• Interventional Endoscopy
• Biliary Medicine

Context:

• Benign biliary strictures require accurate diagnosis to exclude malignancy.
• Current endoscopic treatments involve dilation and temporary plastic stents, necessitating repeat procedures.
• Cholangitis is a potential complication of current stent placements.

Purpose:

• To review the evolving endoscopic management of benign biliary strictures.
• To discuss diagnostic tools for differentiating benign from malignant strictures.
• To evaluate current and emerging endoscopic treatment options.

Summary:

• Accurate diagnosis of biliary strictures is crucial, with ongoing improvements in sampling techniques.
• The standard endoscopic treatment involves stricture dilation and temporary plastic stent placement.
• Covered self-expandable metal stents are emerging as a potentially superior alternative to plastic stents.

Impact:

• Highlights advancements in diagnosing and managing benign biliary strictures.
• Informs clinicians about the benefits and drawbacks of different endoscopic treatment strategies.
• Suggests that self-expanding metal stents may reduce the need for repeat procedures and complications.