Distal common bile duct (CBD) strictures frequently complicate chronic pancreatitis. These strictures may be noted incidentally at cholangiography or may present as persistent cholestasis, jaundice, or cholangitis. Evaluation of endoscopic biliary stenting for CBD strictures in chronic pancreatitis has been addressed in several studies. These suggest that endoscopic therapy may be a useful alternative to surgery for short-term treatment of these strictures, because immediate relief of jaundice and cholangitis is achieved in nearly all patients. Complete stricture resolution, however, occurs in a minority of patients after final stent removal. Surgical biliary-enteric bypass remains the long-term treatment of choice for average-risk individuals. The role of expandable metallic stents requires further study in this benign condition.
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging