Endoscopic management of hilar stricture

Hilar biliary strictures pose a special dilemma in terms of both diagnosis and therapy. While the majority are malignant, differentiating them from benign strictures is not straightforward.Endoscopy is the preferred first approach to diagnosis and therapy, although technical and functional success rates are uniformly poorer when compared to distal biliary strictures. We review the different endoscopic techniques and address some of the contentious issues including metal vs. plastic stents, unilateral vs.

Source: Techniques in Gastrointestinal Endoscopy - June 2, 2016 Category: Gastroenterology Authors: Abhishek Gulati, Payal Thakkar, Shyam Thakkar Tags: SI: Biliary Strictures Source Type: research