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©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Jul 10, 2015; 7(8): 806-813
Published online Jul 10, 2015. doi: 10.4253/wjge.v7.i8.806
Published online Jul 10, 2015. doi: 10.4253/wjge.v7.i8.806
Endoscopic management of hilar biliary strictures
Rajiv Ranjan Singh, Virendra Singh, Departments of Hepatology, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012, India
Author contributions: Both the authors contributed to this manuscript.
Conflict-of-interest statement: None.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Virendra Singh, MD, DM, FASGE, Professor, Department of Hepatology, Post Graduate Institute of Medical Education and Research, Sector 12, Near Punjab University, Chandigarh 160 012, India. virendrasingh100@hotmail.com
Telephone: +91-172-2756338 Fax: +91-172-2744401
Received: October 29, 2014
Peer-review started: November 2, 2014
First decision: December 12, 2014
Revised: March 26, 2015
Accepted: April 10, 2015
Article in press: April 12, 2015
Published online: July 10, 2015
Peer-review started: November 2, 2014
First decision: December 12, 2014
Revised: March 26, 2015
Accepted: April 10, 2015
Article in press: April 12, 2015
Published online: July 10, 2015
Core Tip
Core tip: Management of benign or malignant hilar biliary strictures is difficult. Surgery is technically demanding for benign hilar biliary strictures and results of endoscopic management are not very satisfactory.Endoscopic palliation is preferred modality of managing malignant hilar strictures. However, it is still controversial to drain unilaterally or bilaterally. Use of contrast during endoscopic retrograde cholangiopancreatography and leaving some ducts undrained is a major problem in these patients. We have reviewed the literature on all these aspects of hilar biliary strictures.