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Related Concept Videos

Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

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Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
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Endoscopic Procedures V: ERCP01:26

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Inflammatory Bowel Disease V: Surgical Management01:21

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

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Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
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Esophageal Varices-II: Clinical Features and Management01:28

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Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
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Barrett Esophagus-II: Clinical Manifestations and Management01:21

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Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
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Related Experiment Video

Updated: Dec 23, 2025

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
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Benign Biliary Strictures: A Systematic Review on Endoscopic Treatment Options.

May Yw Wong1, Payal Saxena1,2,3, Arthur J Kaffes1,2,3

  • 1Interventional Endoscopy, Chris O Brien Lifehouse, Missenden Road, Camperdown 2050, Australia.

Diagnostics (Basel, Switzerland)
|April 25, 2020
PubMed
Summary

Managing benign biliary strictures is challenging. This review covers endoscopic treatments, focusing on stent issues and proposing an algorithm for better patient outcomes.

Keywords:
benign biliary stricturesself-expandable metal stents

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Area of Science:

  • Gastroenterology and Hepatology
  • Endoscopic Interventions

Background:

  • Benign biliary strictures present significant management challenges.
  • Untreated strictures can lead to severe complications like jaundice, sepsis, and secondary biliary cirrhosis.

Purpose of the Study:

  • To critically appraise current endoscopic treatment strategies for benign biliary strictures.
  • To identify shortfalls in existing treatments, including stent migration and stricture recurrence.
  • To propose an etiology- and location-based treatment algorithm.

Main Methods:

  • Systematic review of current endoscopic treatment strategies.
  • Critical appraisal of modifiable self-expandable metal stents and biodegradable stents.
  • Development of a novel treatment algorithm.

Main Results:

  • Current endoscopic treatments face challenges such as stent migration and stricture recurrence.
  • Evolving stent technologies offer potential improvements in management.
  • A proposed algorithm aims to guide treatment selection based on stricture characteristics.

Conclusions:

  • Endoscopic management of benign biliary strictures requires careful consideration of stent type and placement.
  • Further research is needed to optimize stent design and reduce recurrence rates.
  • The proposed algorithm provides a framework for personalized treatment approaches.