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- W4240433863 abstract "The situation in patients with benign biliary strictures is different because of the potential for extended survival. The common causes of benign biliary strictures are postoperative (post-cholecystectomy and liver transplant), chronic pancreatitis, and primary sclerosing cholangitis (PSC). Self-expanding metals stents were introduced for use in malignant biliary obstruction but have gradually been employed also in benign biliary strictures resulting from chronic pancreatitis (CP). Benign strictures resulting from cholecystectomy or orthotopic liver transplant are different from those as a result of CP. The most prudent approach in patients with postoperative strictures seems to be to place a single plastic stent because many benign strictures will resolve quickly. The diagnostic role of endoscopic retrograde cholangiopancreatography (ERCP) in PSC has diminished significantly because magnetic resonance cholangiopancreatography has similar sensitivity and specificity and demonstrates the presence of dominant strictures, either intrahepatic or extrahepatic. IgG4-associated sclerosing cholangitis can have similar magnetic resonance imaging findings and the diagnosis may require ERCP." @default.
- W4240433863 created "2022-05-12" @default.
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- W4240433863 date "2020-06-04" @default.
- W4240433863 modified "2023-10-03" @default.
- W4240433863 title "Benign Biliary Strictures" @default.
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- W4240433863 doi "https://doi.org/10.1002/9781119601111.ch18" @default.
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