Stenting for Benign and Malignant Biliary Strictures

Gastrointest Endosc Clin N Am. 2019 Apr;29(2):215-235. doi: 10.1016/j.giec.2018.12.001. Epub 2019 Jan 23.

Abstract

Benign and malignant biliary strictures are common indications for endoscopic retrograde cholangiopancreatography. Diagnosis involves high-quality cross-sectional imaging and cholangiography with various endoscopic sampling techniques. Treatment options include placement of plastic biliary stents and self-expanding metal stents, which differ in patency duration and cost effectiveness. Whether the etiology is benign or malignant, a multidisciplinary strategy should be implemented. This article will discuss general principles of biliary stenting in both benign and malignant conditions.

Keywords: Benign biliary stricture; Biliary obstruction; Biliary stenting; Malignant biliary obstruction.

Publication types

  • Review

MeSH terms

  • Bile Ducts / pathology
  • Biliary Tract Neoplasms / complications*
  • Cholangiopancreatography, Endoscopic Retrograde*
  • Cholecystectomy / adverse effects
  • Cholestasis / etiology*
  • Cholestasis / therapy*
  • Constriction, Pathologic / etiology
  • Constriction, Pathologic / therapy
  • Drainage / methods
  • Humans
  • Liver Neoplasms / complications*
  • Liver Transplantation / adverse effects
  • Pancreatic Neoplasms / complications*
  • Pancreatitis / complications
  • Patient Selection
  • Postoperative Complications / etiology
  • Postoperative Complications / therapy
  • Recurrence
  • Stents* / adverse effects