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Gastrointestinal and Pancreatico-Biliary Diseases: Advanced Diagnostic and Therapeutic Endoscopy pp 1–30Cite as

Treatment of Benign Biliary Stricture

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Abstract

Benign biliary strictures (BBSs) are commonly caused by surgical injury, chronic pancreatitis, and inflammatory cholangiopathies. Although advanced imaging tests and tissue acquisition methods have been developed for evaluation of indeterminate biliary strictures, differentiation of BBSs from biliary malignancies remains a challenge to clinicians. The majority of BBSs have good response to nonsurgical treatment, and surgical intervention mainly serves as a rescue when nonsurgical approaches fail. Endoscopic management is a safe, effective, and less-invasive treatment for BBSs compared with other approaches. Endoscopic biliary stricture dilation followed by placement of multiple plastic stents has been the first-line choice with good long-term ductal patency. Covered self-expanding metal stents (CSEMSs) have been increasingly used in the management of BBSs with similar effectiveness but easier deployment, fewer endoscopic sessions compared with plastic stents. Moreover, other technologies are emerging in the diagnosis and management of BBSs.

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Authors and Affiliations

  1. Hospital Clínico San Borja Arriarán, Santiago de Chile, Chile

    Claudio Navarrete García & Priscilla Lopez

  2. Surgical Department, Clínica Santa María, Santiago de Chile, Chile

    Claudio Navarrete García, Priscilla Lopez, Javier Chapochnick & Carlos Derosas

Authors
  1. Claudio Navarrete García
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  2. Priscilla Lopez
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  3. Javier Chapochnick
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  4. Carlos Derosas
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Correspondence to Claudio Navarrete García .

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Editors and Affiliations

  1. Gastrointestinal Endoscopy Unit, Vita-Salute San Raffaele University, MILANO, Milano, Italy

    Pier Alberto Testoni

  2. Digestive Diseases Center, Showa University Hospital, Tokyo, Japan

    Haruhiro Inoue

  3. Div. of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL, USA

    Michael B. Wallace

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  1. Gastrointestinal Endoscopy Unit, Vita‐Salute San Raffaele University, Milan, Italy

    Pier Alberto Testoni

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Navarrete García, C., Lopez, P., Chapochnick, J., Derosas, C. (2020). Treatment of Benign Biliary Stricture. In: Testoni, P.A., Inoue, H., Wallace, M.B. (eds) Gastrointestinal and Pancreatico-Biliary Diseases: Advanced Diagnostic and Therapeutic Endoscopy. Springer, Cham. https://doi.org/10.1007/978-3-030-29964-4_78-1

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  • DOI: https://doi.org/10.1007/978-3-030-29964-4_78-1

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