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Role of endoscopic retrograde cholangiopancreatography in the management of benign biliary strictures: What's new?


ABSTRACT: Benign biliary strictures comprise a heterogeneous group of diseases. The most common strictures amenable to endoscopic treatment are post-cholecystectomy, post-liver transplantation, related to primary sclerosing cholangitis and to chronic pancreatitis. Endoscopic treatment of benign biliary strictures is widely used as first line therapy, since it is effective, safe, noninvasive and repeatable. Endoscopic techniques currently used are dilation, multiple plastic stents insertion and fully covered self-expandable metal stents. The main indication for dilation alone is primary sclerosing cholangitis related strictures. In the vast majority of the remaining cases, temporary placement of multiple plastic stents with/without dilation is considered the treatment of choice. Although this approach is effective, it requires multiple endoscopic sessions due to the short duration of stent patency. Fully covered self-expandable metal stents appear as a good alternative to plastic stents, since they have an increased radial diameter, longer stent patency, easier insertion technique and similar efficacy. Recent advances in endoscopic technique and various devices have allowed successful treatment in most cases. The development of novel endoscopic techniques and devices is still ongoing.

SUBMITTER: Ferreira R 

PROVIDER: S-EPMC4766255 | biostudies-literature | 2016 Feb

REPOSITORIES: biostudies-literature

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Role of endoscopic retrograde cholangiopancreatography in the management of benign biliary strictures: What's new?

Ferreira Rosa R   Loureiro Rui R   Nunes Nuno N   Santos António Alberto AA   Maio Rui R   Cravo Marília M   Duarte Maria Antónia MA  

World journal of gastrointestinal endoscopy 20160201 4


Benign biliary strictures comprise a heterogeneous group of diseases. The most common strictures amenable to endoscopic treatment are post-cholecystectomy, post-liver transplantation, related to primary sclerosing cholangitis and to chronic pancreatitis. Endoscopic treatment of benign biliary strictures is widely used as first line therapy, since it is effective, safe, noninvasive and repeatable. Endoscopic techniques currently used are dilation, multiple plastic stents insertion and fully cover  ...[more]

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