Abstract
Biliary leaks and strictures are commonly encountered clinical problems in gastroenterology. Bile leaks are most commonly due to iatrogenic duct injury during laparoscopic cholecystectomy which occurs at a rate of approximately 3%. Bile leaks can usually be treated endoscopically by performing a sphincterotomy and the placement of a biliary stent. Patients with refractory leaks or complete transection of the bile duct require surgical management. Biliary strictures occur due to a variety of mechanisms including iatrogenic, inflammatory and neoplastic causes. Endoscopic biliary dilatation and stenting is the mainstay of therapy for biliary strictures. Malignant biliary strictures and those refractory to endoscopic therapy may require surgical intervention.
| Original language | English (US) |
|---|---|
| Title of host publication | Practical Gastroenterology and Hepatology |
| Subtitle of host publication | Liver and Biliary Disease |
| Publisher | Wiley-Blackwell |
| Pages | 383-392 |
| Number of pages | 10 |
| ISBN (Print) | 9781405182751 |
| DOIs | |
| State | Published - Aug 31 2010 |
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Keywords
- Bile leak
- Biliary stent
- Biliary stricture
- Cholecystectomy
- ERCP
- HIDA
- MRCP
ASJC Scopus subject areas
- Medicine(all)
Cite this
Biliary Strictures and Leaks. / Thackeray, Erin W.; Sanchez, William.
Practical Gastroenterology and Hepatology: Liver and Biliary Disease. Wiley-Blackwell, 2010. p. 383-392.Research output: Chapter in Book/Report/Conference proceeding › Chapter
}
TY - CHAP
T1 - Biliary Strictures and Leaks
AU - Thackeray, Erin W.
AU - Sanchez, William
PY - 2010/8/31
Y1 - 2010/8/31
N2 - Biliary leaks and strictures are commonly encountered clinical problems in gastroenterology. Bile leaks are most commonly due to iatrogenic duct injury during laparoscopic cholecystectomy which occurs at a rate of approximately 3%. Bile leaks can usually be treated endoscopically by performing a sphincterotomy and the placement of a biliary stent. Patients with refractory leaks or complete transection of the bile duct require surgical management. Biliary strictures occur due to a variety of mechanisms including iatrogenic, inflammatory and neoplastic causes. Endoscopic biliary dilatation and stenting is the mainstay of therapy for biliary strictures. Malignant biliary strictures and those refractory to endoscopic therapy may require surgical intervention.
AB - Biliary leaks and strictures are commonly encountered clinical problems in gastroenterology. Bile leaks are most commonly due to iatrogenic duct injury during laparoscopic cholecystectomy which occurs at a rate of approximately 3%. Bile leaks can usually be treated endoscopically by performing a sphincterotomy and the placement of a biliary stent. Patients with refractory leaks or complete transection of the bile duct require surgical management. Biliary strictures occur due to a variety of mechanisms including iatrogenic, inflammatory and neoplastic causes. Endoscopic biliary dilatation and stenting is the mainstay of therapy for biliary strictures. Malignant biliary strictures and those refractory to endoscopic therapy may require surgical intervention.
KW - Bile leak
KW - Biliary stent
KW - Biliary stricture
KW - Cholecystectomy
KW - ERCP
KW - HIDA
KW - MRCP
UR - http://www.scopus.com/inward/record.url?scp=84886078734&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84886078734&partnerID=8YFLogxK
U2 - 10.1002/9781444325249.ch36
DO - 10.1002/9781444325249.ch36
M3 - Chapter
AN - SCOPUS:84886078734
SN - 9781405182751
SP - 383
EP - 392
BT - Practical Gastroenterology and Hepatology
PB - Wiley-Blackwell
ER -