Publication:

Clinicopathological study and management of benign biliary stricture

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.