Abstract
Benign biliary strictures can occur as sequelae after inflammatory processes of the
hepato-pancreato-biliary system; they can also occur as a major complication after
liver and pancreas surgery. Such strictures are so strongly associated with outcomes
after liver and pancreas surgery that they are now included as a required “core outcome”
for reporting after a liver transplant. Options for the management of benign biliary
strictures include endoscopic, percutaneous, and surgical techniques. Retrograde endoscopy
or antegrade percutaneous interventions are first-line therapies, with surgical management
reserved for recalcitrant cases. Overall, biliary strictures are best managed by multidisciplinary
teams at tertiary-care centers to ensure that the most advanced and least invasive
approaches are available. This article reviews all three techniques for the management
of benign biliary strictures, with a focus on multidisciplinary approaches for complex
stricture disease.
Keywords
biliary stricture - endoscopic stenting - endoscopic retrograde cholangiopancreatography
- percutaneous transhepatic cholangiography
