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Postoperative Biliary Stricture

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Endotherapy in Biliopancreatic Diseases: ERCP Meets EUS

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Abstract

Postoperative biliary stricture is a cumbersome condition secondary to biliary or vascular damage. Its risk factors include biliary or vascular anatomical variants, local inflammation, and poor surgical expertise. Intraoperative diagnosis is difficult, and in most cases, patients present with obstructive symptoms within a few weeks. Magnetic resonance cholangiography is a pivotal test to confirm the clinical picture, to study the level of the damage, and to guide treatment. Nowadays, endoscopic stenting is the first-line treatment in most centers. Radiological and surgical approaches are considered in case of endoscopy failure. Multi-stenting treatment achieves long-term clinical success for more than 90% of patients, but multiple procedures are needed. In order to optimize healthcare provider costs, shorter-duration endotherapies with covered metal stents are under evaluation.

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Abbreviations

ERCP:

Endoscopic retrograde cholangiopancreatography

LC:

Laparoscopic cholecystectomy

OC:

Open cholecystectomy

POBS:

Postoperative biliary stricture

SEMS:

Self-expandable metal stent

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Author information

Authors and Affiliations

  1. Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy

    Paolo Cantù & Aurelio Mauro

Authors
  1. Paolo Cantù
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  2. Aurelio Mauro
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Corresponding author

Correspondence to Paolo Cantù .

Editor information

Editors and Affiliations

  1. Digestive and Interventional Endoscopy Unit, Grande Ospedale Metropolitano Niguarda, Piazza dell’Ospedale Maggiore, Milano, Italy

    Massimiliano Mutignani

  2. Hepatologie und Endokrinologie, Abteilung für Gastroenterologie, Robert-Bosch-Krankenhaus, Auerbachstraße, Stuttgart, Germany

    Jörg G. Albert

  3. Department of Gastroenterology, Azienda USL di Forlì-Cesena, Bologna, Italy

    Carlo Fabbri

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Cantù, P., Mauro, A. (2020). Postoperative Biliary Stricture. In: Mutignani, M., Albert, J.G., Fabbri, C. (eds) Endotherapy in Biliopancreatic Diseases: ERCP Meets EUS. Springer, Cham. https://doi.org/10.1007/978-3-030-42569-2_42

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  • DOI: https://doi.org/10.1007/978-3-030-42569-2_42

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-42568-5

  • Online ISBN: 978-3-030-42569-2

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