[Endoscopic treatment of the biliary injuries]

Standard surgical techniques offer a good chance of cure for the majority of patients affected by extrahepatic benign biliary stricture. Nevertheless, operative repair has a long-term recurrence rate of stricture in 10% to 30% of patients. Advances in endoscopic procedures have provided alternative options of relieving biliary obstructions, but prolonged length of treatment and rehospitalization have to be considered if endoscopy is performed. Malignant stenoses are an important factor determining cholangitis, jaundice and pain and it's each systemic consequences. The endoscopic approach intends to create a deviation of bile juice to duodenum by means of metal or plastic stents aiming a safe palliation. The purpose of this review is to show to the readers effectiveness of endoscopic treatments of benign and malign at stenosis of the bile duct and pancreatic.