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Management of Benign Biliary Strictures
CardioVascular and Interventional Radiology, 2002Benign biliary strictures are most commonly a consequence of injury at laparoscopic cholecystectomy or fibrosis after biliary-enteric anastomosis. These strictures are notoriously difficult to treat and traditionally are managed by resection and fashioning of a choledocho- or hepato-jejunostomy. Promising results are being achieved with newer minimally
Hans-Ulrich, Laasch, Derrick F, Martin
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Biliary Strictures After Liver Transplantation
Surgical Clinics of North America, 1994Biliary strictures in the liver transplant population remain significant potential sources of patient morbidity in both early and late postoperative periods. Continuous monitoring of the patient through periodic laboratory testing, ultrasonography, and pre-emptive cholangiography permits early detection and safer management of the patient.
W D, Lewis, R L, Jenkins
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Biliary Strictures in Hepatic Transplantation
Journal of Vascular and Interventional Radiology, 1991Between August 1985 and December 1990, 198 liver transplantations were performed. Among 18 patients, 20 biliary strictures were identified, which were categorized as anastomotic (n = 6), nonanastomotic central hilar (n = 8), and nonanastomotic peripheral (n = 6). Pretransplant disease, hepatic artery patency, presence of acute or chronic rejection, and
V, McDonald +6 more
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Progress in biliary stricture repair
The American Journal of Surgery, 1975Between 1967 and 1970 inclusive, 119 patients underwent 158 operations for the relief of benign bile duct stricture. During this time hepaticojejunostomy was favored for biliary reconstruction, since eighty procedures were of this type. Thirty-eight were end to end repairs and the remainder were a variety of other types.
J W, Braasch, K W, Warren, P K, Blevins
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Management of Benign Biliary Stricture
Surgical Clinics of North America, 1980A description of our current approach to management of benign biliary strictures is presented with emphasis on the importance of preservation of ductal blood supply during reconstruction. Although we have repeatedly stressed the primary importance of prevention of these injuries by a carefully performed cholecystectomy, the frequency with which ...
J S, Bolton, J W, Braasch, R L, Rossi
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Current management of biliary strictures
Journal of Gastrointestinal Surgery, 2004The definitive management of benign biliary strictures depends upon numerous factors, including the complexity and location of the stricture, the degree of inflammation and fibrosis, the presence of ongoing infection or sepsis, and the capability and experience of the surgeon and interventional radiologist at the institution.For some,such as high-risk ...
Jennifer G, Hall, Theodore N, Pappas
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Indeterminate Biliary Strictures
2019No standard definition for indeterminate biliary stricture exists. Biliary strictures are typically referred to as indeterminate in cases with nondiagnostic lab work, cross-sectional imaging, and brushings and/or intraductal biopsies obtained during endoscopic retrograde cholangiopancreatography (ERCP) or in cases of benign results but a strong ...
Motaz H. Ashkar, Natalie Cosgrove
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Benign Biliary Strictures and Leaks
Gastrointestinal Endoscopy Clinics of North America, 2015The major causes of benign biliary strictures include surgery, chronic pancreatitis, primary sclerosing cholangitis, and autoimmune cholangitis. Biliary leaks mainly occur after surgery and, rarely, abdominal trauma. These conditions may benefit from a nonsurgical approach in which endoscopic retrograde cholangiopancreatography (ERCP) plays a pivotal ...
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2015
Injury to the extrahepatic biliary tree is uncommon, but also deadly given adjacent anatomy. Cholecystectomy is indicated for all trauma to the gallbladder. Full thickness common bile duct injuries generally necessitate a Roux-en-Y hepaticojejunostomy in the stable patient, whereas very minor injuries can occasionally be treated with primary repair ...
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Injury to the extrahepatic biliary tree is uncommon, but also deadly given adjacent anatomy. Cholecystectomy is indicated for all trauma to the gallbladder. Full thickness common bile duct injuries generally necessitate a Roux-en-Y hepaticojejunostomy in the stable patient, whereas very minor injuries can occasionally be treated with primary repair ...
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