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bile duct stricture

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bile duct stricture
Biliary stricture Surgery An abnormal narrowing of the common bile duct, due to local scarring, which may cause biliary obstruction Etiology Prior local surgery, pancreatitis, trauma, gallstones Clinical Jaundice, fever, chills, abdominal pain Management Endoscopic surgery


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Regardless of modality, a lengthy segment of extrahepatic bile duct stricture with irregular margin and asymmetric narrowing suggests cholangiocarcinoma, while a short segment with regular margin and symmetric narrowing supports a benign cause.
Pancreatic pseudocysts, chronic pancreatitis, sclerosing cholangitis, benign bile duct strictures or parasites in the bile duct are less common causes.
9) The yield of cytology is not improved with stricture dilation, but repeated brush cytology attempts of a bile duct stricture will increase the tissue yield.
 
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