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Biliary Stricture

Benign or malignant stenosis of the bile ducts.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Biliary Stricture?

Biliary stricture refers to anatomic narrowing of the bile ducts that limits flow. Benign causes include iatrogenic injury (most commonly after cholecystectomy), primary sclerosing cholangitis, chronic pancreatitis, and trauma.

Malignant causes include cholangiocarcinoma, head of pancreas cancer, gallbladder cancer, and metastatic disease. Stricture may cause obstructive jaundice, itching, cholangitis, and in advanced cases biliary cirrhosis.

Diagnosis uses MRCP, ERCP, and endoscopic ultrasound. Treatment is tailored to the cause; endoscopic stenting, balloon dilatation, surgical reconstruction (Roux-en-Y hepaticojejunostomy), or oncologic therapy may be applied.

Symptoms

Progressive jaundice
Itching
Right upper quadrant pain
Weight loss
Episodes of febrile cholangitis
Acholic stool
Dark urine

Risk Factors

History of cholecystectomy
Biliary trauma
Primary sclerosing cholangitis
Chronic pancreatitis
Biliary tract surgery
History of radiotherapy
Malignant disorders

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Development of jaundice
  • Persistent itching
  • Recurrent cholangitis
  • Weight loss
  • History of previous biliary surgery

Treatment Methods

01
Diagnosis with MRCP and ERCP
02
Brush cytology and biopsy
03
Endoscopic stent placement
04
Balloon dilatation
05
Surgical hepaticojejunostomy
06
Percutaneous transhepatic drainage
07
Oncologic therapy (in malignant cases)

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Genel Cerrahi Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.