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Recurrent Biliary Strictures After Initial Biliary Reconstruction

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Management of Benign Biliary Stenosis and Injury

Abstract

The first attempt to repair a benign biliary stricture is the most important. Every new attempt of reconstruction can be increasingly more challenging. Unsuccessful reconstruction is associated with inadequate biliary anatomy delineation, inflammation, surgeon’s inexperience, operative technique, association with vascular injuries, high stenosis and the presence of biliary cirrhosis. Percutaneous procedures have an important role in the initial management of these patients. Baloon dilation has shown to be successful in some series. Revision surgery continues to be the most successful option in selected patients, in spite of higher morbidity and mortality rates than primary repair attempts. Liver transplantation can be the only option for patients with secondary biliary cirrhosis. Bile duct strictures related to liver transplantation can be effectively managed with endoscopic procedures.

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Authors and Affiliations

  1. General Surgery, Avenida Segurola 3293 4 to B, Ciudad Autónoma de Buenos Aires, C1417BBY, Argentina

    Juan Pablo Campana M.D.

  2. General Surgery and Liver transplantation, Hospital Italiano de Buenos Aires, Esmeralda 1319 4to piso, 4to cuerpo, Ciudad Autónoma de Buenos Aires, C1007ABS, Argentina

    Eduardo de Santibañes M.D., Ph.D., F.A.C.S.

Authors
  1. Juan Pablo Campana M.D.
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  2. Eduardo de Santibañes M.D., Ph.D., F.A.C.S.
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Correspondence to Eduardo de Santibañes M.D., Ph.D., F.A.C.S. .

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Editors and Affiliations

  1. Foothills Medical Centre, University of Calgary, Calgary, Alberta, Canada

    Elijah Dixon

  2. Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA

    Charles M. Vollmer Jr.

  3. Division of Gastroenterology, St. Michael's Hospital, Toronto, Ontario, Canada

    Gary R. May

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Campana, J.P., de Santibañes, E. (2015). Recurrent Biliary Strictures After Initial Biliary Reconstruction. In: Dixon, E., Vollmer Jr., C., May, G. (eds) Management of Benign Biliary Stenosis and Injury. Springer, Cham. https://doi.org/10.1007/978-3-319-22273-8_38

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  • DOI: https://doi.org/10.1007/978-3-319-22273-8_38

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-22272-1

  • Online ISBN: 978-3-319-22273-8

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