Division of Gastroenterology and Hepatology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Turk J Gastroenterol. 2024 Jul;35(7):513-522. doi: 10.5152/tjg.2024.24044.
Benign biliary strictures (BBS) ensue from inflammatory conditions (e.g., chronic pancreatitis) or post surgery (e.g., cholecystectomy and liver transplant). High-quality cross-sectional imaging studies such as computed tomography or magnetic resonance cholangiopancre atography are essential in the diagnosis and planning of therapeutic interventions and in ruling out malignancy. Endoscopic retrograde cholangiopancreatography with dilation and stenting is the mainstay treatment for BBS, while surgery is reserved for failed endoscopy or refractory cases.
良性胆道狭窄(BBS)由炎症性疾病(如慢性胰腺炎)或手术后(如胆囊切除术和肝移植)引起。高质量的横断面成像研究,如计算机断层扫描或磁共振胰胆管成像,对于诊断、治疗干预计划以及排除恶性肿瘤至关重要。内镜逆行胰胆管造影术(ERCP)伴扩张和支架置入是 BBS 的主要治疗方法,而手术则保留用于内镜治疗失败或难治性病例。