Abstract

GUERRA HERBAS, Daniel; JALDIN ALVAREZ, Daniel  and  CANEDO BERMUDEZ, Anahi. Endoscopic management of postoperative bile duct stricture report of a case. Gac Med Bol [online]. 2018, vol.41, n.1, pp.58-60. ISSN 1012-2966.

Postoperative biliary strictures, mainly post cholecystectomy, represent the most frequent cause of benign biliary stenosis. We present a case of a female patient who presents jaundice, choluria, thermal spikes and abdominal pain with the only history of laparoscopic cholecystectomy. Laboratories with a cholestasic obstructive pattern proceeds to perform endoscopic retrograde cholangiopancreatography (ERCP), observing stenosis of the bile duct in relation to metal clips. Mechanical and hydrostatic dilatations of the bile duct were performed in addition to the sequential placement of two plastic biliary stents. 6 months later biliary stents were removed, not showing stricture area in the control cholangiography. The management of benign strictures represent a challenge for both the endoscopist and the surgeon the endoscopic retrograde cholangiopancreatography plays a very important diagnostic and therapeutic role mainly with the placement of biliary stent.

Keywords : postoperative biliary stricture; ERCP ; biliary stent.

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