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- W2893084700 abstract "Bile duct strictures are common and result from both benign and malignant conditions. The most common causes include surgery of the gallbladder or biliary tree, other endoscopic or percutaneous interventions, or inflammatory or congenital conditions. The clinical presentation varies based upon the etiology of the bile duct stricture. Radiologic evaluation is essential to define the anatomy of the biliary tree and for planning of corrective intervention. Surgical management of bile duct strictures can involve either early repair or staged late repair. Control of sepsis is an important element that helps to determine the proper timing of repair. The most common operative approach to bile duct stricture repair involves Roux-en-Y hepaticojejunostomy. The use of transhepatic or transanastomotic biliary stenting at the time of stricture repair is controversial. The postoperative complication rates range between 20% and 40% in the literature, with mortality rates being in the 1% to 3% range. In all, bile duct injuries and strictures should be considered complex problems requiring a multidisciplinary approach involving surgeons, radiologists, and gastroenterologists. Excellent outcomes can be achieved in the majority of cases." @default.
- W2893084700 created "2018-10-05" @default.
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- W2893084700 date "2019-01-01" @default.
- W2893084700 modified "2023-10-06" @default.
- W2893084700 title "Operative Management of Bile Duct Strictures" @default.
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- W2893084700 doi "https://doi.org/10.1016/b978-0-323-40232-3.00114-x" @default.
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