Abstract
A patient who sustains a bile duct injury and/or has a bile leak after cholecystectomy can develop a benign biliary stricture during the follow-up. Repair of a bile duct injury/benign biliary stricture in the form of end-to-end repair or hepatico-jejunostomy can restricture during the follow-up. Most anastomotic strictures occur in the first 2 years but they can occur even up to 10 years, hence the need for long-term follow-up. Follow-up is clinical and with liver function tests (LFT), ultrasonography (US), and isotope hepato-biliary scintigraphy. Suspected anastomotic stricture is confirmed by magnetic resonance cholangiography (MRC). Treatment of choice for anastomotic stricture is non-surgical (endoscopic or percutaneous transhepatic balloon dilatation and stenting). If the previous repair was inadequate, reoperation may be performed to do a proper hepatico-jejunostomy. Repeat hepatico-jejunostomy is technically challenging and results are inferior to those of primary hepatico-jejunostomy. Some patients with recurrent benign biliary stricture may require hepatectomy. Patients with anastomotic stricture can develop and die of biliary complications during the follow-up.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
