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Bile Duct Strictures: Multimedia
Updated: Mar 27, 2009
Multimedia
![]() | Media file 1: Endoscopic retrograde cholangiopancreatographic image of a cholangiocarcinoma at the bifurcation of the right and left hepatic ducts (Klatskin tumor). |
![]() | Media file 2: Endoscopic retrograde cholangiopancreatographic cholangiogram demonstrating a long bile duct stricture that represents external compression by gallbladder cancer. |
![]() | Media file 3: Transhepatic cholangiogram with an external drainage catheter in place. |
![]() | Media file 4: Endoscopic retrograde cholangiopancreatographic image of a cholangiogram in a patient with cholangiocarcinoma whose condition has been treated with a metal stent. |
![]() | Media file 5: Endoscopic retrograde cholangiopancreatographic cholangiogram of a solitary benign stricture of the distal bile duct. Resection demonstrated sclerosing cholangitis. |
![]() | Media file 6: Endoscopic retrograde cholangiopancreatographic cholangiogram demonstrating an isolated mid-hepatic duct stricture as a result of pancreatic cancer. |
![]() | Media file 7: Endoscopic retrograde cholangiopancreatographic cholangiogram demonstrating diffuse stricturing of the intrahepatic ducts that is consistent with primary sclerosing cholangitis. |
![]() | Media file 8: Periductal onion skin fibrosis seen in primary sclerosing cholangitis. |
![]() | Media file 9: Periductal lymphocytic and plasma cell infiltrate that is consistent with autoimmune cholangiopathy. |
![]() | Media file 10: Focal intrahepatic benign bile duct stricture after cholecystectomy. |
![]() | Media file 11: Multiple small bile duct stones seen on magnetic resonance cholangiopancreatography (MRCP). |
![]() | Media file 12: Irregular common bile duct stricture as a result of cholangiocarcinoma. |
![]() | Media file 13: This image is an example of an intraoperative cholangiogram performed during a laparoscopic cholecystectomy. |
![]() | Media file 14: Focal bile duct stricture as a result of pancreatic cancer in the head of the pancreas. |
![]() | Media file 15: Percutaneous transhepatic cholangiogram with balloon dilation of a postoperative bile duct stricture. |
![]() | Media file 16: Benign distal common bile duct stricture seen during a cholecystostomy injection in an elderly male. The stricture resolved with a 4-week course of oral corticosteroid therapy. |
More on Bile Duct Strictures |
| Overview: Bile Duct Strictures |
| Differential Diagnoses & Workup: Bile Duct Strictures |
| Treatment & Medication: Bile Duct Strictures |
| Follow-up: Bile Duct Strictures |
Multimedia: Bile Duct Strictures |
| References |
| Further Reading |
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References
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[Best Evidence] Best Evidence: Mahid SS, Jafri NS, Brangers BC, et al. Meta-analysis of cholecystectomy in symptomatic patients with positive hepatobiliary iminodiacetic acid scan results without gallstones. Arch Surg. Feb 2009;144(2):180-7. [Medline].
[Best Evidence] Best Evidence: Olsen JC, McGrath NA, Schwarz DG, Cutcliffe BJ, Stern JL. A double-blind randomized clinical trial evaluating the analgesic efficacy of ketorolac versus butorphanol for patients with suspected biliary colic in the emergency department. Acad Emerg Med. Aug 2008;15(8):718-22. [Medline].
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Further Reading
Best Evidence
- Nandalur KR, Hussain HK, Weadock WJ, et al. Possible biliary disease: diagnostic performance of high-spatial-resolution isotropic 3D T2-weighted MRCP. Radiology. Dec 2008;249(3):883-90. [Medline].
- Gong Y, Huang ZB, Christensen E, Gluud C. Ursodeoxycholic acid for primary biliary cirrhosis. Cochrane Database Syst Rev. Jul 16 2008;CD000551. [Medline]. [Full Text].
- Olsen JC, McGrath NA, Schwarz DG, Cutcliffe BJ, Stern JL. A Double-blind Randomized Clinical Trial Evaluating the Analgesic Efficacy of Ketorolac versus Butorphanol for Patients with Suspected Biliary Colic in the Emergency Department. Acad Emerg Med. Aug 2008;15(8):718-22. [Medline].
- Mahid SS, Jafri NS, Brangers BC, et al. Meta-analysis of cholecystectomy in symptomatic patients with positive hepatobiliary iminodiacetic acid scan results without gallstones. Arch Surg. Feb 2009;144(2):180-7. [Medline].
Clinical Trials
- A Registry of Patients Undergoing Cellvizio Endomicroscopy and Endoscopic Retrograde Cholangiopancreatography(ERCP) Imaging Procedures for Diagnosing Pancreatic and Bile Duct Cancers
- Endoscopic Stenting of Gastrointestinal Cancer
- Paclitaxel Eluting Covered Metalic Stent for Uresectable Malignant Bile Duct Obstruction
- Randomised Trial Comparing Metal and Plastic Biliary Stents Stents for Palliating Malignant Jaundice
National Guidelines Clearinghouse
- ASGE guideline: the role of ERCP in diseases of the biliary tract and the pancreas. American Society for Gastrointestinal Endoscopy - Medical Specialty Society. 2005 Jul. 8 pages. NGC:004486
- Gastrointestinal complications of HIV. New York State Department of Health - State/Local Government Agency [U.S.]. 2006 Oct. 17 pages. NGC:006477
- Quality indicators for endoscopic retrograde cholangiopancreatography. American College of Gastroenterology - Medical Specialty Society. 2006 Apr. 6 pages. NGC:004967
Keywords
bile duct strictures, biliary stricture, biliary stenosis, bile duct stenosis, bile duct constriction, operative trauma, surgical trauma, ascending cholangitis, liver abscess, secondary biliary cirrhosis, pancreatic cancer, benign strictures, malignant strictures, bile duct injury, pancreatitis, bile duct stones, choledocholithiasis, primary sclerosing cholangitis, PSC, postoperative bile duct stricture, cholecystectomy, Charcot triad, cholangiocarcinoma
































Multimedia: Bile Duct Strictures