bile duct stricture

bile duct stricture

An abnormal narrowing of the common bile duct due to local scarring, which may cause biliary obstruction.
 
Clinical findings
Jaundice, fever, chills, abdominal pain.
 
Aetiology
Prior local surgery, pancreatitis, trauma, gallstones.

Management
 Endoscopic surgery with insertion of self-expanding metal mesh stents.

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
References in periodicals archive ?
The patient subsequently underwent endoscopic retrograde cholangiopancreatography (ERCP) showing a distal common bile duct stricture.
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.
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.
Iatrogenic causes of bile duct stricture include stenosis occurring after surgical removal of the gallbladder (cholecystectomy) and T-tube placement.
She had a retained stone at ERCP and required a hepatico-jejunostomy because of an associated distal bile duct stricture (Strasberg Type E1).
According to these reports, causes of BDI include: (1) severe adhesion, it is difficult to expose Calot's triangle clearly; (2) abnormal anatomy of bile duct; (3) improper operation, such as thermal injury by electric coagulation, monopolar electrosurgery, and ultrasonic scalpel, bile duct stricture caused by clips; (4) surgeons are not trained well.
Functional liver damage during laparoscopic cholecystectomy as the sign of the late common bile duct stricture development.
On follow up no patient developed post operative abscess, port site hernia or post operative bile duct stricture.
2,14 ERCP can help detect intra- hepatic and extra-hepatic biliary duct dilatation, stones, and the site of bile duct stricture with the highest accuracy (approximately 90-100%).
Therefore, the clinical research for qualitative diagnosis of bile duct stricture has very high value.