Clinicopathological study and management of benign biliary stricture

Authors

  • Sailendra Nath Paul Department of General Surgery, KPC Medical College and Hospital, Kolkata, West Bengal, India
  • Dilip Kumar Das Department of General Surgery, R. G. Kar Medical College, Kolkata, West Bengal, India

DOI:

https://doi.org/10.18203/2349-2902.isj20191126

Keywords:

Benign biliary stricture, Diagnosis, Complications

Abstract

Background: A stricture of the biliary tract can be one of the most difficult challenges that a surgeon can face. If unrecognized or managed improperly life threatening complications may develop. The goal of this study is to describe the most appropriate management for benign biliary stricture.

Methods: This was a prospective study done on 29 patients diagnosed with benign biliary stricture. Complete biochemical profile, USG-whole abdomen, and other radiological investigations were done to evaluate the detailed etiological condition of the patient. Appropriate surgical intervention was implemented in the patients. Related complications and clinical outcome was observed during the follow up period of 2 years.

Results: Mean age of the study population was 45 years (ranging from 22-62 years). Female preponderance was seen in the study. USG of abdomen was done in all the patients (100%). Overall complications were observed in 15 patients.

Conclusions: Benign biliary strictures occur more often in women. Complications and clinical outcome depends on the time of diagnosis, matured clinical judgment and appropriate surgical intervention. Hepaticojejunostomy (HJJ) was the common surgical procedure adopted in in 23 patients.

Author Biographies

Sailendra Nath Paul, Department of General Surgery, KPC Medical College and Hospital, Kolkata, West Bengal, India

ASSOCIATE PROF. DEPARTMENT OF GENERAL SURGERY, KPC MEDICAL COLLEGE AND HOSPITAL

Dilip Kumar Das, Department of General Surgery, R. G. Kar Medical College, Kolkata, West Bengal, India

ASSOCIATE PROF. DEPARTMENT OF GENERAL SURGERY, R.G. KAR MEDICAL COLLEGE

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Published

2019-03-26

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Original Research Articles