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Benign biliary strictures associated with acute biliary pancreatitis.
Ahmet Tarik Eminler1, Aydin Seref Koksal2, Bilal Toka2
1Faculty of Medicine, Department of Gastroenterology, Korucuk Campus, Sakarya University, Sakarya, Turkey. eminler77@gmail.com.
Surgical Endoscopy
|November 8, 2022
Summary
Benign biliary strictures (BBS) are common after acute biliary pancreatitis (ABP). Endoscopic stenting effectively resolves these common bile duct obstructions within three months, preventing complications.
Area of Science:
- Gastroenterology
- Hepatology
- Endoscopic interventions
Background:
- Benign biliary strictures (BBS) can arise from acute biliary pancreatitis (ABP) due to common bile duct (CBD) compression.
- Limited data exists on the incidence and clinical course of BBS in ABP patients.
Purpose of the Study:
- To determine the incidence of BBS in patients with ABP.
- To evaluate the clinical course and outcomes of endoscopic management for BBS-ABP.
Main Methods:
- Retrospective study of 721 ABP patients over 3 years.
- Defined BBS-ABP by CBD narrowing and delayed contrast drainage.
- Endoscopic treatment involved 7F or 10F plastic stent insertion, exchanged every 3 months.
Main Results:
- 26 out of 257 (3.6%) patients who underwent ERCP developed BBS-ABP.
- Stricture resolution occurred at 3 months (66.7%), 6 months (23.8%), and 9 months (9.5%).
- Asymptomatic stent migration was the only complication (19%); no recurrent strictures were observed.
Conclusions:
- Benign biliary strictures following acute biliary pancreatitis are a frequent clinical issue.
- Temporary endoscopic stenting is effective in resolving obstructions and preventing complications within three months.
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