Table 1.
Type | Site | Common Etiology | Endoscopic Treatment |
---|---|---|---|
1 | Distal CBD | Chronic pancreatitis Papillary stenosis | Multiple plastic stent SEMS |
2 | Mid extra hepatic duct (>1 cm from hilum) | Post surgery (CCY, AS, OLT) PSC | MPS Intraductal SEMS |
3 | Hilar and intra-hepatic | PSC, autoimmune, ischemic | Balloon dilatation, plastic stenting (single or multiple) |
4 | Surgical bilio-enteric anastomotic | Post surgical | Balloon dilatation |
AS anastomotic stricture, CBD common bile duct, CCY cholecystectomy, MPS multiple plastic stents, OLT liver transplantation, PSC primary sclerosing cholangitis, SEMS self-expandable metal stent [4].