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Surgical Management of Bile Duct Strictures

  • Review Article
  • Published:
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Abstract

Biliary strictures can arise from either benign or malignant diseases. Both are amenable to surgical treatment if the surgeon has a clear understanding of the inciting patho-physiology and appropriate training and skill. This review article focuses on the key aspects of surgical management of biliary strictures. The decision to perform a biliary bypass or radical resection of a biliary stricture depends upon the pathology (benign or malignant) and whether there is curative or palliative intent. Endoscopic findings and brushings can often be non-diagnostic and clinical judgment is required. Final pathology ranges from a delayed stricture years following cholecystectomy to cholangiocarcinoma. Performing the correct operation safely requires clinical experience and knowledge of multiple surgical approaches. Surgical options must maximize cure when possible and relieve biliary obstructive and infectious complications.

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Authors and Affiliations

  1. Department of Surgical Oncology, Roswell Park Cancer Institute, Elm & Carlton Sts., Buffalo, NY, 14263, USA

    Moshim Kukar & Neal Wilkinson

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  1. Moshim Kukar
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  2. Neal Wilkinson
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Correspondence to Moshim Kukar.

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Kukar, M., Wilkinson, N. Surgical Management of Bile Duct Strictures. Indian J Surg 77, 125–132 (2015). https://doi.org/10.1007/s12262-013-0972-7

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  • DOI: https://doi.org/10.1007/s12262-013-0972-7

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