A 21-year-old male asked:
After my gallbladder removal my bile duct has stricture.an ercp has performed but it remains. what should i do?
1 doctor answer • 3 doctors weighed in
Dr. Eduardo Ibarguen-secchiaanswered
Pediatric Gastroenterology 40 years experience
Stent?: Usually to treat a stricture they may place a stent to keep it open. An ERCP alone is just diagnostic.
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Strictures can occur after gallbladder surgery for several reasons, including subtle injury to the blood vessels which supply the bile ducts ('ischemic stricture'). An ERCP is certainly the correct first step- generally a plastic biliary stent should be placed during that procedure, which can help dilate the narrowing. A small balloon may also be introduced to dilate the stricture, and biopsy/cytology samples may also be taken. In my practice, I would then repeat the ERCP in 8 weeks to evaluate for improvement/resolution. Multiple dilation steps may be required to completely open up the stricture.
Nov 27, 2012
Last updated Nov 16, 2014
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