| Theme | Stenting for Digestive Diseases | |
|---|---|---|
| Title | Endoscopic Stenting for Benign Biliary Strictures | |
| Publish Date | 2019/09 | |
| Author | Koh Fukushi | Department of Gastroenterology, Dokkyo Medical University |
| Author | Atsushi Irisawa | Department of Gastroenterology, Dokkyo Medical University |
| Author | Kohei Tsuchida | Department of Gastroenterology, Dokkyo Medical University |
| Author | Misako Tsunemi | Department of Gastroenterology, Dokkyo Medical University |
| Author | Hidehito Jinnai | Department of Gastroenterology, Dokkyo Medical University |
| Author | Akane Yamabe | Department of Gastroenterology, Dokkyo Medical University |
| [ Summary ] | Benign biliary strictures are associated with multifactorial etiology and most commonly occur after inflammatory diseases such as chronic pancreatitis and immunoglobulin G4‒associated diseases and after surgery (hepatic transplantation, and biliary surgery, among other procedures). In recent years, stent placement followed by endoscopic retrograde cholangiopancreatography (ERCP) is widely performed as first‒line treatment for benign biliary strictures. Although a plastic stent is usually preferred, the usefulness of covered metal stents has also been reported in recent years. Endoscopic ultrasound‒guided bile drainage has been reported in patients in whom the transpapillary/transanastomotic approach is difficult. No definitive strategy has been established for the management of benign biliary strictures; however, endoscopists should have thorough knowledge regarding appropriate stent selection based on an individualized approach to achieve favorable prognosis. | |