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• W2069773044 endingPage "434" @default.
• W2069773044 startingPage "425" @default.
• W2069773044 abstract "IntroductionFocal intrahepatic strictures are becoming more common owing to more prevalent and accurate cross‐sectional imaging. However, data relating to their management are lacking. The purpose of the present review was to synthesize the current evidence regarding these lesions and to formulate a strategy for diagnosis and management.MethodsA literature search of relevant terms was performed using Medline. References of papers were subsequently searched to obtain older literature.ResultsFocal intrahepatic strictures involve segmental hepatic ducts and/or left and right main hepatic ducts during their intrahepatic course. Most patients are asymptomatic while the minority present with vague abdominal pain or recurrent sepsis and only rarely with jaundice. Investigations used to distinguish benign from malignant aetiologies include blood tests (CEA, Ca19.9), imaging studies [ultrasonography (US), computed tomography (CT), magnetic resonance cholangiopancreatography (MRCP) and fluorodeoxyglucose‐positron emission tomography (FDG‐PET)], endoscopic modalities [endoscopic retrograde cholangiopancreatography (ERCP)/endoscopic ultrasound (EUS)/cholangioscopy] and tissue sampling (brush cytology/biopsy).ConclusionsA focal intrahepatic stricture requires thorough investigation to exclude malignancy even in patients with a history of biliary surgery, hepatolithiasis or parasitic infection. If during the investigative process a diagnosis or suspicion of malignancy is demonstrated then surgical resection should be performed. If all diagnostic modalities suggest a benign aetiology, then cholangioscopy with targeted biopsies should be performed." @default.
• W2069773044 created "2016-06-24" @default.
• W2069773044 creator A5001618669 @default.
• W2069773044 creator A5034893498 @default.
• W2069773044 creator A5069358915 @default.
• W2069773044 creator A5078338355 @default.
• W2069773044 date "2012-07-01" @default.
• W2069773044 modified "2023-09-27" @default.
• W2069773044 title "Focal intrahepatic strictures: a review of diagnosis and management" @default.
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