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Kukar M, Wilkinson N. Surgical Management of Bile Duct Strictures. Indian J Surg. 2013;77(2):125-32doi: 10.1007/s12262-013-0972-7.
Kukar, M., & Wilkinson, N. (2015). Surgical Management of Bile Duct Strictures. The Indian journal of surgery, 77(2), 125-32. https://doi.org/10.1007/s12262-013-0972-7
Kukar, Moshim, and Wilkinson, Neal. "Surgical Management of Bile Duct Strictures." The Indian journal of surgery vol. 77,2 (2015): 125-32. doi: https://doi.org/10.1007/s12262-013-0972-7
Kukar M, Wilkinson N. Surgical Management of Bile Duct Strictures. Indian J Surg. 2015 Apr;77(2):125-32. doi: 10.1007/s12262-013-0972-7. Epub 2013 Sep 20. PMID: 26139967; PMCID: PMC4484525.
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Indian J Surg. 2015 Apr;77(2):125-32. doi: 10.1007/s12262-013-0972-7. Epub 2013 Sep 20.

Surgical Management of Bile Duct Strictures.

The Indian journal of surgery

Moshim Kukar, Neal Wilkinson

Affiliations

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

PMID: 26139967 PMCID: PMC4484525 DOI: 10.1007/s12262-013-0972-7

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.

Keywords: Biliary strictures; Surgical management

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