Endoscopic biliary drainage was performed revealing a distal common bile duct stricture
A contrast enhanced CT confirmed a resectable pancreatic head mass.
Heat injury is usually caused by the anatomical or electrocoagulation hemostasis with an electric knife in the trigonometric area of the gallbladder, leading to thermal injury and inflammation of the bile duct wall caused by electrothermal conduction, resulting in bile duct stricture
. Ischemic injury results from excessive surgical dissection of tissue around the bile duct, leading to injury of the vascular plexus around the bile duct, resulting in biliary stricture.
classification whereby lacerations under 25% of CBD diameter or cystic-CBD junction was classified as minor injury, where as transaction or laceration over 25% of CBD diameter and postoperative bile duct stricture
were classified as major injury.3 This was assessed by MRCP (magnetic resonance cholangio-pancreatography) and ERCP (Endoscopic Retrograde Cholangio-pancreatography).
Murat, "Retrospective clinical study of the effects of T-tube placement for bile duct stricture
," Medical Science Monitor, vol.
Endoscopic retrograde of cholangiopancreatography revealed distal common bile duct stricture
of 3 cm without obstruction, for which a biliary stent was placed.
Bile bacteria in patients with benign bile duct stricture
. Br J Surg 1980; 67(5):329-32.
Long-term follow-up is required, because the overall recurrence rate for intrahepatic stones and/or cholangitis is high (63.2%) especially in patients with bile duct stricture
. Also, complete clearance of intrahepatic stones is crucial as the incidence of cholangiocarcinoma is significantly higher in those with residual stones .
Benign bile duct stricture
following cholecystectomy: critical factors in management.Br J Surg.
The patient subsequently underwent endoscopic retrograde cholangiopancreatography (ERCP) showing a distal common bile duct stricture
. A sphincterotomy was completed followed by placement of a 7 cm 10 French plastic biliary stent.
Iatrogenic causes of bile duct stricture
include stenosis occurring after surgical removal of the gallbladder (cholecystectomy) and T-tube placement.
The management of benign bile duct stricture
is always a challenge to the clinicians.
Percutaneous transhepatic cholangiogram depicting common bile duct stricture