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1

Shuleshov, A. G., N. V. Fomicheva, D. N. Ulyanov, A. S. Balalykin, D. V. Danilov, and M. I. Rozovsky. "Cholangioscopy in diagnosis of diseases of extrahepatic bile ducts." Medical alphabet 1, no. 6 (2019): 30–36. http://dx.doi.org/10.33667/2078-5631-2019-1-6(381)-30-36.

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An analysis of the diagnosis of extrahepatic bile duct diseases in 115 patients is presented. With the diagnostic purpose they performed ERCP, EPT, cholangioscopy. The method of direct visualization of the mucous membrane of the bile ducts allows you to identify endoscopic signs of strictures. Differential diagnosis of benign and malignant strictures of the bile ducts using cholangioscopy is difficult. Nevertheless, we were able to identify some typical signs for malignant strictures, including ulceration and mucosal infiltration, vascular pattern irregularity, stricture asymmetry.
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2

Ly, Mark, Ngee-Soon Lau, Catriona McKenzie, et al. "Histological Assessment of the Bile Duct before Liver Transplantation: Does the Bile Duct Injury Score Predict Biliary Strictures?" Journal of Clinical Medicine 12, no. 21 (2023): 6793. http://dx.doi.org/10.3390/jcm12216793.

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Introduction: Histological injury to the biliary tree during organ preservation leads to biliary strictures after liver transplantation. The Bile Duct Injury (BDI) score was developed to assess histological injury and identify the grafts most likely to develop biliary strictures. The BDI score evaluates the bile duct mural stroma, peribiliary vascular plexus (PVP) and deep peribiliary glands (DPGs), which were correlated with post-transplant biliary strictures. However, the BDI score has not been externally validated. The aim of this study was to verify whether the BDI score could predict bili
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Okhotnikov, O. I., M. V. Yakovleva, and O. S. Gorbacheva. "X-ray surgery for benign biliary strictures after cholecystectomy." Annaly khirurgicheskoy gepatologii = Annals of HPB surgery 24, no. 1 (2019): 83–91. http://dx.doi.org/10.16931/1995-5464.2019183-91.

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Aim.To determine the role of antegrade X-ray surgical interventions in the treatment of benign postoperative biliary strictures.Material and methods.A retrospective analysis of treatment of 36 patients with benign biliary strictures was performed. Isolated stricture of biliodigestive anastomosis was diagnosed in 25 cases, partial clipping of common hepatic duct proximal to biliodigestive anastomosis – in 3 cases, partial clipping of bile duct – in 3 patients, isolated biliary strictures – in 5 patients including 4 of them with stricture within previously deployed T-shaped drainage. At the firs
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4

Andersson, Roland, Karl-Göran Tranberg, and Stig Beng-Mark. "Liver Resection for Intrahepatic Stones." HPB Surgery 2, no. 2 (1990): 145–47. http://dx.doi.org/10.1155/1990/59151.

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Intrahepatic stones are difficult to manage, especially when they are associated with bile duct stricture, cholangitis and destruction of liver parenchyma. Suggested modes of treatment include surgical bile duct exploration, endoscopic procedures, transhepatic cholangiolithotomy and liver resection. This paper reports 2 patients in whom liver resection was performed because of intrahepatic ductal stones, bile duct strictures and repeated episodes of cholangitis. Liver resection was uncomplicated and long-term results were satisfactory. Our results support the view that liver resection is indic
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5

Semash, K. O., T. A. Dzhanbekov, M. M. Akbarov, and T. Z. Gaybullaev. "Reconstructive interventions on bile ducts in patients with benign obstructive jaundice." Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery 29, no. 3 (2024): 90–99. http://dx.doi.org/10.16931/1/1995-5464.2024-3-90-99.

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Aim. To evaluate immediate and long-term results of surgical reconstruction of the biliary system in various types of benign obstructive jaundice.Materials and methods. The study enrolled 110 patients with choledocholithiasis, iatrogenic biliary strictures, common bile duct strictures, as well as strictures of biliodigestive and biliobiliary anastomoses. Patients were divided into 3 groups. Group 1 included 43 patients with multiple choledocholithiasis and bile duct dilatation >15 mm. Group 2 enrolled 35 patients with multiple choledocholithiasis and hepaticolithiasis who were intraoperativ
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6

Chung, Hye Gyo, Jong-In Chang, Kwang Hyuk Lee, Joo Kyung Park, Kyu Taek Lee, and Jong Kyun Lee. "Comparison of EUS and ERCP-guided tissue sampling in suspected biliary stricture." PLOS ONE 16, no. 10 (2021): e0258887. http://dx.doi.org/10.1371/journal.pone.0258887.

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Background Endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS) are commonly used diagnostic modalities in biliary strictures. We compared the diagnostic yield of EUS and ERCP-based tissue sampling in intrinsic biliary strictures without extrinsic mass outside the bile duct. Methods A total of 85 patients who underwent ERCP and EUS for diagnosis of suspected biliary strictures confined to the bile duct were analyzed retrospectively at Samsung Medical Center, Seoul, Korea, between 2010 and 2018. Results Seventy-one patients were diagnosed with malignancy and 14
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7

Dhar Chowdhury, Sudipta, and Rajeeb Jaleel. "Cholangioscopy: Has It Changed Management?" Journal of Digestive Endoscopy 13, no. 01 (2022): 008–13. http://dx.doi.org/10.1055/s-0042-1743183.

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AbstractThe single operator per oral cholangioscope is a catheter-based system that allows for direct visualization of the bile duct and pancreatic duct. The instrument with its improved imaging technique and larger accessory channel allows for high-quality image acquisition and performance of therapeutic and diagnostic procedures within the bile duct and pancreatic duct. There has been an increase in the range of indications for the use of the cholangioscope. The current indications include management of difficult biliary stones, pancreatic calculi, assessment of indeterminate biliary strictu
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8

Cheng, Zhilei, Xiaoqiang Huang, and Jiahong Dong. "A Promising Method for Repairing Low-Level Biliary Strictures After Cholecystectomy." International Surgery 100, no. 6 (2015): 1072–77. http://dx.doi.org/10.9738/intsurg-d-14-00260.1.

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The purpose of this study is to introduce and evaluate a new technique of repairing bile ducts by the tubular gastric wall with a vascularized pedicle. Both the end-to-end bile duct repair and Roux-en-Y hepatoenterostomy have limitations in the treatment of benign bile duct strictures after cholecystectomy. There are no other good choices to manage these cases, especially the bile duct transection injuries or partly missing common bile duct or hepatic duct. Eleven patients with partly missing common bile ducts in the Chinese People's Liberation Army General Hospital between January 2007 and De
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9

Bhat, Bharath Kumar, Shailendra Lalwani, Siddharth Mehrotra, et al. "The management of benign biliary strictures." Bhutan Health Journal 4, no. 1 (2018): 60–67. http://dx.doi.org/10.47811/bhj.59.

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The most common cause of Benign Biliary Stricture is post cholecystectomy bile duct injury. Following introduction of the laparoscopic cholecystectomy procedure the incidence of bile duct injury and stricture has increased. The studies suggest that the incidence remained stable even after the improved learning curve. The early diagnosis and prompt management is the key in preventing devastating sequelae of this benign condition. The management of post cholecystectomy biliary strictures involves a multidisciplinary approach. Our review aims to describe the present strategy in management of post
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10

Boyko, Valeriy V., Yuriy V. Avdosyev, Anastasiia L. Sochnieva, Denys O. Yevtushenko, and Dmitro V. Minukhin. "PERCUTANEOUS TRANSHEPATIC CHOLANGIOGRAPHY IN THE DIAGNOSTICS OF COMMON BILE DUCT DISEASES COMPLICATED BY OBSTRUCTIVE JAUNDICE*." Emergency Medical Service 8, no. 2 (2021): 62–67. http://dx.doi.org/10.36740/emems202102102.

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Aim: Evaluation of the effectiveness of percutaneous transhepatic cholangiography in the diagnostics of bile duct diseases complicated by obstructive jaundice. Material and methods: This article presents the experience of using percutaneous transhepatic cholangiography in 88 patients with benign and malignant common bile duct diseases complicated by obstructive jaundice. Results: Methods of direct contrasting of the biliary tract make it possible to visualize choledocholithiasis with 86.5% accuracy, with 84.1% common bile duct strictures, with 87.8% stricture of biliodigestive anastomosis and
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11

Deprez, Pierre, Rodrigo Garces Duran, Tom Moreels, et al. "The economic impact of using single-operator cholangioscopy for the treatment of difficult bile duct stones and diagnosis of indeterminate bile duct strictures." Endoscopy 50, no. 02 (2017): 109–18. http://dx.doi.org/10.1055/s-0043-121268.

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Abstract Background and study aim Conventional endoscopic retrograde cholangiopancreatography (ERCP) combines endoscopy and radiography to diagnose and treat pathological conditions of the bile duct. The aim of the present analysis was to evaluate the clinical and economic impact of the use of single-operator intraductal cholangioscopy (IDC), which allows for direct visualization of the bile duct, as an alternative to ERCP for the treatment of difficult bile duct stones and the diagnosis of bile duct strictures. Patients and methods The clinical and economic consequences of single-operator IDC
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12

Moon, Sung-Hoon. "Endoscopic Management of Benign Pancreatic Stricture Associated with Chronic Pancreatitis." Korean Journal of Medicine 99, no. 6 (2024): 284–89. https://doi.org/10.3904/kjm.2024.99.6.284.

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The most common symptom of chronic pancreatitis is abdominal pain. Potential causes include ductal hypertension due to pancreatic stricture, bile duct stricture, duodenal stricture, the presence of a pseudocyst, and increased nociception. In the management of main pancreatic ductal strictures associated with chronic pancreatitis, an endoscopic pancreatic sphincterotomy is typically performed, followed by stricture dilation and the insertion of a single plastic stent. If pancreatic stones are present, extracorporeal shockwave lithotripsy may also be necessary. After placing a plastic stent in t
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13

Nakayama, Hisashi, Hideki Masuda, Wakato Ugajin, Tsugumichi Koshinaga, and Masahiro Fukuzawa. "Left Hepatic Lobectomy for Type IV-A Choledochal Cyst." American Surgeon 66, no. 11 (2000): 1020–22. http://dx.doi.org/10.1177/000313480006601107.

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We report a case of a 37-year-old woman who was diagnosed with a type IV-A choledochal cyst with intrahepatic bile duct strictures. Because the stricture in the medial segment was located too far from the hilum for a hepaticojejunostomy we performed a left hepatic lobectomy. In this report we evaluate the therapeutic benefit of hepatectomy in a patient with a type IV-A choledochal cyst involving the intrahepatic bile ducts.
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14

Schreuder, Anne Marthe, Olivier R. Busch, Marc G. Besselink, et al. "Long-Term Impact of Iatrogenic Bile Duct Injury." Digestive Surgery 37, no. 1 (2019): 10–21. http://dx.doi.org/10.1159/000496432.

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Background: Bile duct injury (BDI) is a devastating complication following cholecystectomy. After initial management of BDI, patients stay at risk for late complications including anastomotic strictures, recurrent cholangitis, and secondary biliary cirrhosis. Methods: We provide a comprehensive overview of current literature on the long-term outcome of BDI. Considering the availability of only limited data regarding treatment of anastomotic strictures in literature, we also retrospectively analyzed patients with anastomotic strictures following a hepaticojejunostomy (HJ) from a prospectively m
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15

Lillemoe, Keith D., Henry A. Pitt, and John L. Cameron. "Postoperative Bile Duct Strictures." Surgical Clinics of North America 70, no. 6 (1990): 1355–80. http://dx.doi.org/10.1016/s0039-6109(16)45289-8.

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16

Front, Mary E., Stephen R. Wise, and Larry C. Carey. "Common Bile Duct Strictures." AORN Journal 52, no. 1 (1990): 57–67. http://dx.doi.org/10.1016/s0001-2092(07)67285-8.

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17

Dadhwal, U. S., and Vipon Kumar. "Benign bile duct strictures." Medical Journal Armed Forces India 68, no. 3 (2012): 299–303. http://dx.doi.org/10.1016/j.mjafi.2012.04.014.

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18

Chapman, William C. "Postcholecystectomy Bile Duct Strictures." Archives of Surgery 130, no. 6 (1995): 597. http://dx.doi.org/10.1001/archsurg.1995.01430060035007.

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19

Raju, Gottumukkala S. "Postoperative bile duct strictures." Current Treatment Options in Gastroenterology 5, no. 2 (2002): 113–21. http://dx.doi.org/10.1007/s11938-002-0058-2.

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Siddique, Ummara, Aman Nawaz Khan, Muhammad Naveed Anwar, et al. "3D Magnetic Resonance Cholangiopancreatography (MRCP) in Symptomatic Post Cholecystectomy Patients: Ideal Imaging Plane of Source Volume Images." Saudi Journal of Radiology 1, no. 2 (2022): 1–13. http://dx.doi.org/10.55038/sjr.v1i2.15.

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Objectives: The purpose of our study was to find out the ideal 3D-MRCP acquisition plane among coronal and axial source datasets for bile duct assessment in patients with persistent post cholecystectomy pain. Methods: This was a cross sectional analytical study carried out in Radiology department of a teaching hospital from 1st January 2016 to 30 May 2017. 78 symptomatic patients for MRCP in the duration were included. Age range was 20 to 70 years and patients had persistent or recurrent post cholecystectomy symptoms like abdominal pain, vomiting or jaundice. Data was collected retrospectively
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21

Doskhanov, M., A. Khajiyeva, B. Baimakhanov, et al. "FIRST EXPERIENCE OF LAPAROSCOPIC HEPATICOJEJUNOSTOMY FOR BILE DUCT STRICTURES." BULLETIN OF SURGERY IN KAZAKHSTAN 20, no. 2 (2024): 50–60. http://dx.doi.org/10.35805/bsk2024ii006.

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Background. Bile duct injury is a potentially life-threatening condition characterized by high morbidity and mortality, which occurs as a result of erroneous manipulation during surgical intervention, such as incorrect identification of the ducts, improper clipping, or thermal injury. The aim of the study is to investigate the effectiveness of laparoscopic hepaticojejunostomy in patients with post-cholecystectomy bile duct injuries and compare it with traditional open techniques. Materials and Methods. A retrospective analysis of the results of laparoscopic and open hepaticojejunostomy in pati
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22

Figueroa-Barojas, Paola, Mihir R. Bakhru, Nagy A. Habib, et al. "Safety and Efficacy of Radiofrequency Ablation in the Management of Unresectable Bile Duct and Pancreatic Cancer: A Novel Palliation Technique." Journal of Oncology 2013 (2013): 1–5. http://dx.doi.org/10.1155/2013/910897.

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Objectives. Radiofrequency ablation (RFA) has replaced photodynamic therapy for premalignant and malignant lesions of the esophagus. However, there is limited experience in the bile duct. The objective of this pilot study was to assess the safety and efficacy of RFA in malignant biliary strictures. Methods: Twenty patients with unresectable malignant biliary strictures underwent RFA with stenting between June 2010 and July 2012. Diameters of the stricture before and after RFA, immediate and 30 day complications and stent patency were recorded prospectively.Results. A total of 25 strictures wer
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23

Kahn, D. "Liver Transplantation: Does Prolonged Storage Promote Non-Anastomatic Biliary Structures?" HPB Surgery 9, no. 2 (1996): 113–15. http://dx.doi.org/10.1155/1996/48793.

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The occurrence of biliary stricutures in allografts following liver transplantation correlates with the duration of preservation time. The correlation between preservation time and biliary strictures suggests that anoxic or reperfusion injury of the bile duct epithelium causes stricture formation. However, the relative susceptibility of bile duct cells to anoxic or reoxygenation injury is unknown. Our aims were to determine the vulnerability of rat liver bile duct cells to anoxic and reoxygenation injury and to compare the results with hepatocytes. During anoxia, bile duct epithelial cells wer
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24

Kotelnikova, L. P., I. G. Burnyshev, O. V. Bazhenova, and D. V. Trushnikov. "Results of surgical treatment of extrahepatic bile duct injuries." Perm Medical Journal 37, no. 1 (2020): 63–72. http://dx.doi.org/10.17816/pmj37163-72.

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Aim. To evaluate the short-and long-term outcomes after surgical repair of iatrogenic lesions of extrahepatic bile ducts depending on the timing of diagnosis in conditions of specialized clinic.
 Materials and methods. Our study involved a retrospective analysis of 159 patients who were treated for iatrogenic lesions of extrahepatic bile ducts during 1987-2017. These patients were divided into two groups depending on the timing of surgical treatments: early biliary reconstruction ( 5 days after bile duct transection) and late biliary reconstruction ( 5 days post-transection). These groups
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Sun, Qiu-Yue, Yi-Ming Cheng, Yu-Hui Sun, and Jin Huang. "New rabbit model for benign biliary stricture formation with repeatable administration." World Journal of Gastrointestinal Surgery 16, no. 11 (2024): 3538–45. http://dx.doi.org/10.4240/wjgs.v16.i11.3538.

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BACKGROUND The treatment of benign biliary strictures (BBS) is a challenging clinical problem. At present, there is a lack of ideal models for the study of BBS treatment. AIM To develop a novel animal model of BBS to simulate studies on the processes and mechanisms in the human condition. METHODS A rabbit model of benign bile duct stricture was established by surgical injury of the bile duct. After removal of the gallbladder, a drainage tube was placed through the cystic duct at the stump, and a BBS model was induced by surgical injury at the lower end of the common bile duct. RESULTS Compared
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Brazhnikova, N. A., and V. F. Tskhay. "Strictures of biliary tracts during opisthorchosis." Bulletin of Siberian Medicine 2, no. 4 (2003): 58–66. http://dx.doi.org/10.20538/1682-0363-2003-4-58-66.

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1170 patients with chronic opisthorchosis have been operated by surgeons of Tomsk hepatology center for 35 years, 4756 patients have been treated. In 730 operated patients different strictures of biliary tracts have been revealed, strictures of cystic duct have been observed in 372 patients (51%), strictures of choledoch distal section and major duodenal papilla (MDP) of expanded character — in 124 patients (17%), stricture combination — in 205 patients (28%) and sclerosing cholangitis — in 29 (4%). The treatment of opisthorchosis strictures of biliary tracts is surgical. In case of any its lo
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Sharma, Vishal, K. V. Raghavendra Prasada, Surinder S. Rana, et al. "A modification of rendezvous technique for endoscopically treating transected common bile duct following cholecystectomy." Journal of Digestive Endoscopy 05, no. 03 (2014): 129–31. http://dx.doi.org/10.4103/0976-5042.147503.

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AbstractEndoscopic therapy is the standard of care for management of most benign biliary strictures. However, endoscopic therapy can fail in very tight strictures. We report a case of a 52-year-old lady who had complete bile duct transection with stricture after laparoscopic cholecystectomy. In initial attempt, at endoscopic retrograde cholangiopancreatography (ERCP), guidewire could not be negotiated endoscopically across the narrowing as there was complete cut off of the bile duct and so a percutaneous transhepatic biliary drainage (PTBD) was done and subsequently internalized into the duode
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28

Melekhina, Olga V., Yu Y. Sokolov, A. M. Efremenkov, et al. "Percutaneous transhepatic cholangiostomy in children." Russian Journal of Pediatric Surgery 27, no. 5 (2023): 331–37. http://dx.doi.org/10.55308/1560-9510-2023-27-5-331-337.

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Introduction. Congenital malformations of the bile ducts, complicated course of cholelithiasis, strictures of biliodigestive anastomoses, tumors of the pancreatobiliary zone can lead to mechanical jaundice. It is not always possible to perform unloading cholecystostomy for the urgent bile derivation, to stent bile ducts with retrograde endoscopy; more so, to perform radical surgery under hyperbilirubinemia is a risky intervention that can cause complications. Then, percutaneous transhepatic cholangiostomy becomes a method of choice. We present our own experience of interventional surgical proc
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29

Millis, J. Michael. "Management of Bile Duct Strictures." Archives of Surgery 127, no. 9 (1992): 1077. http://dx.doi.org/10.1001/archsurg.1992.01420090085012.

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Starkov, Yu G., A. I. Vagapov, R. D. Zamolodchikov, S. V. Dzhantukhanova, and A. S. Ibragimov. "Intraluminal endoscopic complex approach in the treatment of a patient with adenoma of the major duodenal papilla, choledocholithiasis and stricture of the terminal common bile duct." Experimental and Clinical Gastroenterology, no. 3 (July 25, 2023): 161–67. http://dx.doi.org/10.31146/1682-8658-ecg-211-3-161-167.

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Introduction. Adenomas of the major duodenal papilla are benign neoplasms, but due to their high tendency to malignancy, they must be removed. At present, minimally invasive methods of operations are increasingly being considered as an alternative to surgical interventions, while cases of a combination of a neoplasm of the major duodenal papilla with choledocholithiasis and bile duct strictures are of particular difficulty in endoscopic treatment. Clinical case. A 62-year-old patient underwent complex endoscopic treatment at the Vishnevsky National Research Medical Center for Surgery about ade
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Šileikis, Audrius, Rūta Žulpaitė, Auksė Šileikytė, and Martynas Lukšta. "Postcholecystectomy bile duct injuries: evolution of surgical treatment." Polish Journal of Surgery 91, no. 1 (2019): 14–21. http://dx.doi.org/10.5604/01.3001.0012.7810.

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Introduction Bile duct injuries (BDIs) still occur during laparoscopic cholecystectomy. Although management of such complications is challenging, collaboration of a multidisciplinary team and development of treatment methods and materials often lead to the successful treatment. Materials and methods Medical records of 67 patients who have experienced bile duct injures after laparoscopic cholecystectomy were retrospectively reviewed. All injures were classified according to the European Association for Endoscopic Surgery ATOM classification and investigated by manifestation of the injury, surgi
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32

Trent, Vincent, Kamal K. Khurana, and Latha R. Pisharodi. "Diagnostic Accuracy and Clinical Utility of Endoscopic Bile Duct Brushing in the Evaluation of Biliary Strictures." Archives of Pathology & Laboratory Medicine 123, no. 8 (1999): 712–15. http://dx.doi.org/10.5858/1999-123-0712-daacuo.

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Abstract Pathologic evidence of malignancy in biliary strictures is useful in the preoperative setting because it helps define therapeutic planning and prognosis. The purpose of this study was to assess the diagnostic accuracy and clinical utility of endoscopic bile duct brushings in the evaluation of bile duct strictures. We retrospectively evaluated 34 endoscopic biliary brushings derived from 31 patients with bile duct strictures. Relevant clinical and follow-up data were collected. Histologic specimens were reviewed in patients undergoing subsequent biopsies. Patients included 18 men and 1
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33

Plotnikova, Ekaterina Yu, Evgenia N. Baranova, and Konstantin A. Krasnov. "Liver cirrhosis formation after cholecystectomy (clinical analysis)." Clinical review for general practice 3, no. 3 (2022): 69–72. http://dx.doi.org/10.47407/kr2022.3.3.00139.

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The term post-cholecystectomy syndrome (PCES) includes a heterogeneous group of symptoms and changes in patients who have previously undergone cholecystectomy. Patients with PCEC may have abdominal pain, jaundice, or dyspeptic symptoms. Many of these complaints can be related to complications, including bile duct damage, bile fistulas, and left stones in the bile ducts. Late complications include recurrent stones in the bile ducts and bile duct strictures. With the increasing number of cholecystectomies performed during the laparoscopy era, the number of patients with PCES is also increasing.
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Law, Siu-Tong, Wai-Ki Lee, Michael Kin-Kong Li, and Ka-Ho Lok. "A Gentleman with Anemia and Cholestasis." Case Reports in Medicine 2010 (2010): 1–4. http://dx.doi.org/10.1155/2010/536207.

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Primary sclerosing cholangitis is a rare cause of cholestasis caused by progressive inflammation and fibrosis of both intrahepatic and extrahepatic bile ducts leading to multifocal ductal strictures. Herein, we report a case of primary sclerosing cholangitis and inflammatory bowel disease. The concomitant diagnosis of these two diseases is not typical. The management includes the treatment of inflammatory bowel disease and potential complications of primary sclerosing cholangitis, including dominant strictures of bile duct, portal hypertension, gallbladder diseases, cholangiocarcinoma, and col
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Abdel Samie, Ahmed, and Lorenz Theilmann. "Fully Covered Self-Expandable Metal Stents for Treatment of Both Benign and Malignant Biliary Disorders." Diagnostic and Therapeutic Endoscopy 2012 (June 14, 2012): 1–5. http://dx.doi.org/10.1155/2012/498617.

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Transpapillary stents are increasingly being used for biliary strictures, whether benign or malignant. However, there are different stent types and available data is controversial. Recently, completely covered self-expandable metal stents (CSEMSs) have been proposed as an alternative therapeutic option in different biliary indications, including strictures of the distal bile duct, anastomotic stenosis after orthotopic liver transplantation, bile duct leaks, periampullary perforation following endoscopic sphincterotomy (ES), and postsphincterotomy bleeding. Despite the higher costs of these dev
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Sato, M., Y. Watanabe, S. Horiuchi, et al. "Long-Term Results of Hepatic Resection for Hepatolithiasis." HPB Surgery 9, no. 1 (1995): 37–41. http://dx.doi.org/10.1155/1995/54872.

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Long-term results of hepatic resection for hepatolithiasis in 34 patients having intrahepatic biliary strictures were studied. The left lateral and the right posterior segmental ducts were commonly and often simultaneously involved. Fourteen patients had multiple segmental involvement. Hepatic resection included left sided resection (n=27), right sided resection (n=6), and repeated bilateral resection (n=1). Seven patients had biliary tumors: 3 cholangiocarcinomas, 2 gall bladder cancers, cystadenocarcinoma, and dysplasia of intrahepatic ducts. Nineteen patients received bilioenteric anastomos
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37

Bykov, M. I., A. Y. Mnatsakanian, and A. A. Taran. "Peroral Cholangioscopy in the Diagnosis and Treatment of Biliary Strictures." Innovative Medicine of Kuban, no. 1 (March 6, 2023): 79–88. http://dx.doi.org/10.35401/2541-9897-2023-26-1-79-88.

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Objective: To determine the role of and indications for peroral cholangioscopy using the SpyGlass system in the differential diagnosis of biliary tract lesions and in case of biliary strictures, based on the literature data analysis and our own experience.Materials and methods: Peroral cholangioscopy is mainly used for the differential diagnosis of biliary tract lesions. During peroral cholangioscopy, we carefully consider gross signs of damage to the bile duct mucosa: abnormal capillary vascular pattern, granulation tissue and other types of proliferation, palpatory characteristics of the wal
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Mohamed, Adnan A., Ahmed M. Ali, Mahmoud R. Shehata, Wael A. Elsewify, and Salah Maklad. "Frequency of malignant biliary strictures in Upper Egypt: a pilot study." Egyptian Journal of Internal Medicine 31, no. 4 (2019): 836–39. http://dx.doi.org/10.4103/ejim.ejim_128_19.

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Abstract Background and aim Biliary strictures are challenging clinical condition for gastroenterologists, radiologists, and surgical specialists. We aimed to find out the frequency of malignant biliary strictures in our institutions. Patients and methods This prospective study included 44 patients with biliary strictures who had undergone endoscopic retrograde cholangiopancreatography (ERCP) and magnetic resonance cholangiopancreatography (MRCP) in Aswan and Assiut University Hospitals. Results Thirty two patients (72.7%) had malignant strictures where distal stricture was the most frequent (
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Park, Wonsuk, Jin Gwack, and Joonhong Park. "Implementing Massive Parallel Sequencing into Biliary Samples Obtained through Endoscopic Retrograde Cholangiopancreatography for Diagnosing Malignant Bile Duct Strictures." International Journal of Molecular Sciences 25, no. 17 (2024): 9461. http://dx.doi.org/10.3390/ijms25179461.

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Despite advancements in radiologic, laboratory, and pathological evaluations, differentiating between benign and malignant bile duct strictures remains a diagnostic challenge. Recent developments in massive parallel sequencing (MPS) have introduced new opportunities for early cancer detection and management, but these techniques have not yet been rigorously applied to biliary samples. We prospectively evaluated the Oncomine Comprehensive Assay (OCA) and the Oncomine Pan-Cancer Cell-Free Assay (OPCCFA) using biliary brush cytology and bile fluid obtained via endoscopic retrograde cholangiopancr
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Omorov, R., E. Dzholdoshbekov, T. Omorov, R. Beishenbaev, and N. Osmonbekova. "Choice of Surgical Tactic for High Cicatricle Strictures of Bile Duct." Bulletin of Science and Practice 11, no. 4 (2025): 183–90. https://doi.org/10.33619/2414-2948/113/26.

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In this scientific work the results of surgical treatment of patients with high scar strictures of bile ducts leading to complications of different nature and frequency are analysed. Presence of established formidable and severe complications dictate the necessity of dynamic observation and examination and timely operative treatment. Each particular patient has an individual approach to surgical intervention. The aim of the work is to improve the results of surgical treatment of patients with high scar strictures of bile ducts by choosing the optimal surgical tactics. The aim of the work is to
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41

Miki, Atsushi, Yasunaru Sakuma, Hideyuki Ohzawa, et al. "Immunoglobulin G4–Related Sclerosing Cholangitis Mimicking Hilar Cholangiocarcinoma Diagnosed With Following Bile Duct Resection: Report of a Case." International Surgery 100, no. 3 (2015): 480–85. http://dx.doi.org/10.9738/intsurg-d-14-00230.1.

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We report a rare case of immunoglobulin G4 (IgG4)–related sclerosing cholangitis without other organ involvement. A 69-year-old-man was referred for the evaluation of jaundice. Computed tomography revealed thickening of the bile duct wall, compressing the right portal vein. Endoscopic retrograde cholangiopancreatography showed a lesion extending from the proximal confluence of the common bile duct to the left and right hepatic ducts. Intraductal ultrasonography showed a bile duct mass invading the portal vein. Hilar bile duct cancer was initially diagnosed and percutaneous transhepatic portal
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42

Cazzagon, Nora, Samantha Sarcognato, Elisa Catanzaro, et al. "Primary Sclerosing Cholangitis: Diagnostic Criteria." Tomography 10, no. 1 (2024): 47–65. http://dx.doi.org/10.3390/tomography10010005.

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Primary sclerosing cholangitis is a chronic cholestatic liver disease characterized by inflammation and fibrosis of intra- and/or extrahepatic bile ducts leading to the formation of multifocal strictures alternated to bile duct dilatations. The diagnosis of the most common subtype of the disease, the large duct PSC, is based on the presence of elevation of cholestatic indices, the association of typical cholangiographic findings assessed by magnetic resonance cholangiography and the exclusion of causes of secondary sclerosing cholangitis. Liver biopsy is not routinely applied for the diagnosis
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43

Carlos, Ignacio Rafael Pérez, and Saskia Castañeda Anaya Paola. "Literature Review: Bile Duct Interruption." INTERNATIONAL JOURNAL OF MEDICAL SCIENCE AND CLINICAL RESEARCH STUDIES 03, no. 08 (2023): 1542–44. https://doi.org/10.5281/zenodo.8224155.

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Bile duct interruption, or biliary obstruction, is a condition characterized by the partial or complete blockage of the bile ducts, impeding the normal flow of bile from the liver to the small intestine. This literature review explores the epidemiology, significance, theoretical framework, and management of bile duct interruption. The epidemiology of this condition is influenced by various factors, including the prevalence of gallstones and other biliary pathologies in different populations. Bile duct interruption carries significant clinical significance due to its potential to cause jaundice
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Gorycki, Tomasz, and Michał Studniarek. "Bile Duct Strictures Caused by Solid Masses: MR in Differential Diagnosis and as a Prognostic Tool to Plan the Endoscopic Treatment." Gastroenterology Research and Practice 2013 (2013): 1–7. http://dx.doi.org/10.1155/2013/729279.

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The aim of the study was to assess how realiable is differential diagnosis and prognosis for endoscopic treatment with MR signal characteristics as the qualitative parameter and magnetic resonance cholangiopancreatography (MRCP) images in cases of bile duct obstructions caused by solid masses.Material and Methods. Retrospective study of MR and MRCP images in 80 patients (mean age 58 ys) was conducted. Mean signal intensity ratio (SIR) from planar MR images and MRCP linear measurements were compared between benign and malignant lesions and in groups including the size and number of stents place
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Inoue, Tadahisa, Hiromu Kutsumi, Mayu Ibusuki, and Masashi Yoneda. "Endoscopic biliary ethanol ablation using a novel multi-hole balloon catheter: In vivo feasibility study in a swine model." PLOS ONE 18, no. 3 (2023): e0283733. http://dx.doi.org/10.1371/journal.pone.0283733.

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Background Minimally invasive local treatment could be a good option for the treatment of extrahepatic cholangiocarcinoma (eCCA). This study aimed to evaluate the feasibility of a novel local treatment method, endoscopic biliary ethanol ablation (EA), in vivo using a swine model. Methods This study utilized a prototype of the newly developed multi-hole balloon catheter. The swine bile duct was ablated using this balloon via the same approach as the conventional endoscopic retrograde cholangiography procedure. The study outcomes included technical success, clinical success, and adverse events a
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Pascher, Andreas, Undine Gerlach, and Peter Neuhaus. "Bile duct strictures after liver transplantation." Current Opinion in Gastroenterology 30, no. 3 (2014): 320–25. http://dx.doi.org/10.1097/mog.0000000000000061.

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Lillemoe, Keith D. "Benign post-operative bile duct strictures." Baillière's Clinical Gastroenterology 11, no. 4 (1997): 749–79. http://dx.doi.org/10.1016/s0950-3528(97)90020-8.

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Yoon, Won Jae, and William R. Brugge. "Endoscopic Evaluation of Bile Duct Strictures." Gastrointestinal Endoscopy Clinics of North America 23, no. 2 (2013): 277–93. http://dx.doi.org/10.1016/j.giec.2012.12.002.

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Ogorodnik, P., A. Deynichenko, A. Skums, and O. Lytvyn. "Endoscopic management of bile duct strictures." HPB 18 (April 2016): e672. http://dx.doi.org/10.1016/j.hpb.2016.01.026.

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Kukar, Moshim, and Neal Wilkinson. "Surgical Management of Bile Duct Strictures." Indian Journal of Surgery 77, no. 2 (2013): 125–32. http://dx.doi.org/10.1007/s12262-013-0972-7.

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