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Endoscopy
Review
Biliary strictures: endoscopic assessment and management
  1. Bharat Paranandi1,
  2. Kofi W Oppong2
  1. 1Department of Gastroenterology, Leeds Teaching Hospitals NHS Trust, Leeds, UK
  2. 2HPB Unit, Freeman Hospital, Newcastle upon Tyne Hospitals NHS Trust, Newcastle upon Tyne, UK
  1. Correspondence to Dr Kofi W Oppong, Department of Gastroenterology, Freeman Hospital, Freeman Rd, Newcastle upon Tyne NE7 7DN, UK; Kofi.Oppong{at}nuth.nhs.uk

Abstract

The diagnosis of biliary strictures can be challenging. Endoscopy has an established role in the diagnosis and therapy of biliary strictures. However, the diagnostic yield from conventional endoscopic retrograde cholangiopancreatography tissue sampling is modest. Improvements in existing technologies as well as the implementation of novel technologies and techniques have the potential to improve the diagnostic performance of endoscopy and expand its therapeutic role. Recent studies have enabled greater clarity about the role of preoperative biliary drainage and the choice of stents in this setting as well as the utility of metal stents in benign and malignant disease.

  • ENDOSCOPIC RETROGRADE PANCREATOGRAPHY
  • ENDOSCOPIC ULTRASONOGRAPHY
  • BILIARY STRICTURES
  • AUTOIMMUNE BILIARY DISEASE
  • HEPATOBILIARY CANCER

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

https://doi.org/10.1136/flgastro-2016-100773

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    Footnotes

    • Contributors BP wrote the first draft. KWO wrote the second draft. Both authors contributed to the final manuscript.

    • Competing interests None declared.

    • Provenance and peer review Commissioned; externally peer reviewed.