CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2012; 03(S 05): 036-039
DOI: 10.4103/0976-5042.95029
Review Article
Society of Gastrointestinal Endoscopy of India

Postcholecystectomy benign biliary stricture: Surgery is the gold standard

Sadiq S. Sikora
Chief, Department of Surgical Gastroenterology, Manipal Institute of Liver and Digestive Diseases, Manipal Hospital, Bangalore, India
› Author Affiliations
Further Information

Publication History

Publication Date:
26 September 2019 (online)

Abstract

Post cholecystectomy bile duct strictures present a challenge to the treating physicians. Advancement in skills and technology offers alternative treatment modalities to the standard surgical repair. Contemporary series of surgical repair by experienced surgeons report excellent long-term results with <5% restricture rates. Endoscopic therapy is conceptually flawed, is not applicable to all patients, requires prolonged duration of treatment with multiple interventions. Surgical repair by an experienced surgeon is the “Gold Standard” of care in management of postcholecystectomy bile duct strictures.

 
  • References

  • 1 Deziel DJ. Complications of cholecystectomy. Incidence, clinical manifestations, and diagnosis. Surg Clin North Am 1994;74:809-23.
  • 2 A prospective analysis of 1518 laparoscopic cholecystectomies. The Southern Surgeons Club. N Engl J Med 1991;324:1073-8.
  • 3 Wherry DC, Marohn MR, Malanoski MP, Hetz SP, Rich NM. An external audit of laparoscopic cholecystectomy in the steady state performed in medical treatment facilities of the Department of Defense. Ann Surg 1996;224:145-54.
  • 4 Adamsen S, Hansen OH, Funch-Jensen P, Schulze S, Stage JG, Wara P. Bile duct injury during laparoscopic cholecystectomy: A prospective nationwide series. J Am Coll Surg 1997;184:571-8.
  • 5 Windsor JA, Pong J. Laparoscopic biliary injury: More than a learning curve problem. Aust N Z J Surg 1998;68:186-9.
  • 6 Sikora SS, Pottakkat B, Srikanth G, Kumar A, Saxena R, Kapoor VK. Postcholecystectomy benign biliary strictures - long-term results. Dig Surg 2006; 23:304-12.
  • 7 Davids PH, Tanka AK, Rauws EA, van Gulik TM, van Leeuwen DJ, de Wit LT, et al. Benign biliary strictures. Surgery or endoscopy? Ann Surg 1993;217:237-43.
  • 8 Tocchi A, Mazzoni G, Liotta G, Costa G, Lepre L, Miccini M, et al. Management of benign biliary strictures: Biliary enteric anastomosis vs endoscopic stenting. Arch Surg 2000;135:153-7.
  • 9 Bergman JJ, Burgemeister L, Bruno MJ, Rauws EA, Gouma DJ, Tytgat GN, et al. Long-term follow-up after biliary stent placement for postoperative bile duct stenosis. Gastrointest Endosc 2001; 54:154-61.
  • 10 Kassab C, Prat F, Liguory C, Meduri B, Ducot B, Fritsch J, et al. Endoscopic management of post-laparoscopic cholecystectomy biliary strictures. Long-term outcome in a multicenter study. Gastroenterol Clin Biol 2006;30:124-9.
  • 11 Costamagna G, Pandolfi M, Mutignani M, Spada C, Perri V. Long-term results of endoscopic management of postoperative bile duct strictures with increasing numbers of stents. Gastrointest Endosc 2001; 54:162-8.
  • 12 Draganov P, Hoffman B, Marsh W, Cotton P, Cunningham J. Long-term outcome in patients with benign biliary strictures treated endoscopically with multiple stents. Gastrointest Endosc 2002; 55:680-6.
  • 13 Vitale GC, Tran TC, Davis BR, Vitale M, Vitale D, Larson G. Endoscopic management of postcholecystectomy bile duct strictures. J Am Coll Surg 2008;206:918-23; discussion 924-5.
  • 14 Lillemoe KD, Melton GB, Cameron JL, Pitt HA, Campbell KA, Talamini MA, et al. Postoperative bile duct strictures: Management and outcome in the 1990s. Ann Surg 2000;232:430-41.
  • 15 Walsh RM, Henderson JM, Vogt DP, Brown N. Long-term outcome of biliary reconstruction for bile duct injuries from laparoscopic cholecystectomies. Surgery 2007;142:450-6; discussion 456-7.
  • 16 Chapman WC, Havely A, Blumgart LH, Benjamin IS. Postcholecystectomy bile duct strictures: Management and outcome in 130 patients. Arch Surg 1995;130:597-602; discussion 602-4.
  • 17 Wagholikar GD, Sikora SS, Pandey R, Prasad KK, Kumar A, Saxena R, et al. Morphological changes in bile ducts following preoperative biliary stenting. Indian J Gastroenterol 2003;22:166-9.
  • 18 De Palma GD, Persico G, Sottile R, Puzziello A, Iuliano G, Salvati V, et al. Surgery or endoscopy for treatment of postcholecystectomy bile duct strictures? Am J Surg 2003;185:532-5.
  • 19 Boerma D, Rauws EA, Keuleman YC, Bergman JJ, Obertop H, Huibregtse K, et al. Impaired quality of life 5 years after bile duct injury during laparoscopic cholecystectomy. A prospective analysis. Ann Surg 2001;234:750-7.