Endoscopic management of benign biliary strictures: Possibility or exercise in futility?
Benign biliary strictures for which endoscopic treatment is proposed are mostly related to liver transplantation or chronic pancreatitis (one third of cases each) and, less frequently, to other causes (e. g., cholecystectomy, sphincterotomy). The question of futility of exercise may therefore be of...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2012-01-01
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| Series: | Journal of Digestive Endoscopy |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/0976-5042.95028 |
| _version_ | 1818059328117014528 |
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| author | Pierre H. Deprez |
| author_facet | Pierre H. Deprez |
| author_sort | Pierre H. Deprez |
| collection | DOAJ |
| description | Benign biliary strictures for which endoscopic treatment is proposed are mostly related to liver transplantation or chronic pancreatitis (one third of cases each) and, less frequently, to other causes (e. g., cholecystectomy, sphincterotomy). The question of futility of exercise may therefore be of importance before embarking in these techniques. Endoscopic treatment of iatrogenic (post-operative) benign strictures may be considered as the gold standard since 90% of success is achieved with multiple stent placement. In strictures due to chronic pancreatitis, success rates are lower and surgery may be an appropriate alternative, although it may not be futile to propose an endoscopic try, especially when strictures are related to acute pancreatitis, pseudocyst obstruction or any reversible pancreatic cause of obstruction. In sclerosing cholangitis, endoscopic management is also focused on detection of malignancy. It should therefore not be considered as a futile exercise, but indications and aims of endotherapy should be discussed in a multidisciplinary team involving gastroenterologists, radiologists, and surgical specialists. |
| first_indexed | 2024-12-10T13:14:46Z |
| format | Article |
| id | doaj.art-a0f53bec70504e4a8c22f6c3070b278e |
| institution | Directory Open Access Journal |
| issn | 0976-5042 0976-5050 |
| language | English |
| last_indexed | 2024-12-10T13:14:46Z |
| publishDate | 2012-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Digestive Endoscopy |
| spelling | doaj.art-a0f53bec70504e4a8c22f6c3070b278e2022-12-22T01:47:35ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Digestive Endoscopy0976-50420976-50502012-01-010303303510.4103/0976-5042.95028Endoscopic management of benign biliary strictures: Possibility or exercise in futility?Pierre H. Deprez0Department of Hepato-Gastroenterology, Cliniques universitaires Saint-Luc, Université Catholique de Louvain, Brussels, BelgiumBenign biliary strictures for which endoscopic treatment is proposed are mostly related to liver transplantation or chronic pancreatitis (one third of cases each) and, less frequently, to other causes (e. g., cholecystectomy, sphincterotomy). The question of futility of exercise may therefore be of importance before embarking in these techniques. Endoscopic treatment of iatrogenic (post-operative) benign strictures may be considered as the gold standard since 90% of success is achieved with multiple stent placement. In strictures due to chronic pancreatitis, success rates are lower and surgery may be an appropriate alternative, although it may not be futile to propose an endoscopic try, especially when strictures are related to acute pancreatitis, pseudocyst obstruction or any reversible pancreatic cause of obstruction. In sclerosing cholangitis, endoscopic management is also focused on detection of malignancy. It should therefore not be considered as a futile exercise, but indications and aims of endotherapy should be discussed in a multidisciplinary team involving gastroenterologists, radiologists, and surgical specialists.http://www.thieme-connect.de/DOI/DOI?10.4103/0976-5042.95028benign biliary stricturesendoscopic treatmentself-expandable metal stents |
| spellingShingle | Pierre H. Deprez Endoscopic management of benign biliary strictures: Possibility or exercise in futility? Journal of Digestive Endoscopy benign biliary strictures endoscopic treatment self-expandable metal stents |
| title | Endoscopic management of benign biliary strictures: Possibility or exercise in futility? |
| title_full | Endoscopic management of benign biliary strictures: Possibility or exercise in futility? |
| title_fullStr | Endoscopic management of benign biliary strictures: Possibility or exercise in futility? |
| title_full_unstemmed | Endoscopic management of benign biliary strictures: Possibility or exercise in futility? |
| title_short | Endoscopic management of benign biliary strictures: Possibility or exercise in futility? |
| title_sort | endoscopic management of benign biliary strictures possibility or exercise in futility |
| topic | benign biliary strictures endoscopic treatment self-expandable metal stents |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/0976-5042.95028 |
| work_keys_str_mv | AT pierrehdeprez endoscopicmanagementofbenignbiliarystricturespossibilityorexerciseinfutility |