Gupta Rajesh, Rao G V, Reddy D Nageshwar
Department of Medical, Asian Institute of Gastroenterology, 6-3-661 Somajiguda, Hyderabad 500 082, India.
Indian J Gastroenterol. 2006 Jul-Aug;25(4):202-5.
Management of benign biliary stricture remains a challenge for both surgeons and therapeutic endoscopists. Traditionally, surgery is considered the mainstay of treatment, but it is associated with significant morbidity and variable long-term outcome. With advances in endoscopic techniques and accessories, endoscopic management is emerging as an effective option. Outcome of endoscopic management depends on both the etiology and location of stricture. Current data suggest that long-term results with multiple plastic stents are superior to those with single plastic stent. Removable covered metal stents are a good alternative. The role of bio-absorbable self-expanding stents needs to be evaluated further.
良性胆管狭窄的治疗对外科医生和治疗内镜医师来说仍然是一个挑战。传统上，手术被认为是主要的治疗方法，但它会带来显著的发病率和多变的长期疗效。随着内镜技术和附件的进步，内镜治疗正成为一种有效的选择。内镜治疗的效果取决于狭窄的病因和部位。目前的数据表明，多个塑料支架的长期效果优于单个塑料支架。可移除覆膜金属支架是一个很好的替代选择。生物可吸收自膨式支架的作用需要进一步评估。
