PMID: 12628067Mar 12, 2003Paper

Endoscopic Interventions in the Biliary Tract

Current Treatment Options in Gastroenterology
Adolf Stiehl

Abstract

In patients with common bile duct stones, the endoscopic removal of such stones has become the standard therapy. The surgical approach is indicated only for stones that cannot be extracted endoscopically. In biliary obstruction due to pancreaticobiliary malignancy, endoscopic interventions represent the first-line therapy in the palliative situation. If endoscopic access is not possible, the percutanous approach often represents an alternative, followed by palliative surgical options. Biliary strictures or bile leaks after liver transplantation very often may be treated effectively by endoscopic dilatation or temporary stenting. In most cases, endoscopic therapy of such problems represents the first option before the percutaneous or surgical approach is indicated. In primary sclerosing cholangitis, dominant biliary strictures develop frequently and endoscopic treatment allows their opening in most cases. There is no real alternative to endoscopy in this situation. The situation is more complex in postoperative biliary strictures and chronic pancreatitis. In these conditions, advantages and disadvantages of the endoscopic versus the surgical approach have to be evaluated to find the most effective form of treatment in the indivi...Continue Reading

References

Oct 1, 1989·Gut·T SauerbruchG Paumgartner
Jun 1, 1985·Gastrointestinal Endoscopy·J F RiemannL Demling
May 1, 1974·Gastrointestinal Endoscopy·K KawaiY Koli
Aug 1, 1983·Journal of Clinical Gastroenterology·S K DuttaH C Standiford
May 1, 1993·Gastrointestinal Endoscopy·M KeymlingK Knyrim
Mar 1, 1995·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·J G LeeP B Cotton
Sep 26, 1996·The New England Journal of Medicine·M L FreemanA M Pheley
Mar 13, 1998·Gastroenterology·M A OrtnerH Lochs
Sep 14, 1999·The American Journal of Gastroenterology·C Y PonsioenG N Tytgat
Jan 29, 2000·Gastrointestinal Endoscopy·D A SchwartzC J Gostout
Jan 29, 2000·Gastrointestinal Endoscopy·J G Lee, J W Leung
Feb 3, 2000·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·F BerrJ Mössner
Mar 10, 2000·The American Journal of Gastroenterology·J M DumonceauJ Devière
Mar 31, 2000·Surgical Endoscopy·G C VitaleG M Larson
Feb 24, 2001·Endoscopy·E L FogelG A Lehman
Oct 23, 2001·Endoscopy·P Connor, R H Hawes
May 25, 2002·Gastrointestinal Endoscopy·Thomas RöschHermann Helmberger

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