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Digestive Disease Interventions
DOI: 10.1055/s-0044-1801818
Review Article

Multidisciplinary Management of Benign Biliary Strictures

Divya Deverakonda
1   Department of General Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio
,
Chase J. Wehrle
2   Transplant Enterprise, Cleveland Clinic Foundation, Cleveland, Ohio
,
Hassan Siddiki
3   Department of Gastroenterology, Advanced Endoscopy Section, Cleveland Clinic Foundation, Cleveland, Ohio
,
Koji Hashimoto
2   Transplant Enterprise, Cleveland Clinic Foundation, Cleveland, Ohio
,
Andrea Schlegel
2   Transplant Enterprise, Cleveland Clinic Foundation, Cleveland, Ohio
,
Sameer Gadani
4   Department of Interventional Radiology, Cleveland Clinic Foundation, Cleveland, Ohio
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Abstract

Benign biliary strictures can occur as sequelae after inflammatory processes of the hepato-pancreato-biliary system; they can also occur as a major complication after liver and pancreas surgery. Such strictures are so strongly associated with outcomes after liver and pancreas surgery that they are now included as a required “core outcome” for reporting after a liver transplant. Options for the management of benign biliary strictures include endoscopic, percutaneous, and surgical techniques. Retrograde endoscopy or antegrade percutaneous interventions are first-line therapies, with surgical management reserved for recalcitrant cases. Overall, biliary strictures are best managed by multidisciplinary teams at tertiary-care centers to ensure that the most advanced and least invasive approaches are available. This article reviews all three techniques for the management of benign biliary strictures, with a focus on multidisciplinary approaches for complex stricture disease.

Keywords

biliary stricture - endoscopic stenting - endoscopic retrograde cholangiopancreatography - percutaneous transhepatic cholangiography


Publication History

Received: 19 November 2024

Accepted: 17 December 2024

Article published online:
03 April 2025

© 2025. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

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