Copyright ©2009 The WJG Press and Baishideng.
World J Gastroenterol. Sep 7, 2009; 15(33): 4097-4104
Published online Sep 7, 2009. doi: 10.3748/wjg.15.4097
Table 1 Main causes of benign biliary strictures
Congenital stricturesBiliary atresia and congenital cysts
Bile duct injuriesIatrogenic: postoperative, following endoscopic and percutaneous procedures
Following blunt or penetrating trauma of the abdomen
Inflammatory stricturesCholelithiasis and choledocholithiasis
Mirizzi’s syndrome
Chronic pancreatitis
Chronic ulcer or diverticulum of the duodenum
Abscess or inflammation of the liver or subhepatic region
Parasitic, viral infection
Toxic drugs
Recurrent pyogenic cholangitis
Primary sclerosing cholangitis
Radiation-induced strictures
Papillary stenosis
Table 2 Incidence of IBDI following cholecystectomy (%)
AuthorIBDI incidence following OCIBDI incidence following LC
McMahon et al[14], 19950.20.81
Strasberg et al[15], 19950.70.5
Shea et al[16], 19960.19-0.290.36-0.47
Targarona et al[17], 19980.60.95
Lillemoe et al[18], 20000.30.4-0.6
Gazzaniga et al[19], 20010.0-0.50.07-0.95
Savar et al[20], 20040.180.21
Moore et al[21], 20040.20.4
Misra et al[22], 20040.1-0.30.4-0.6
Gentileschi et al[23], 20040.0-0.70.1-1.1
Kaman et al[24], 20060.30.6
Table 3 Terblanche clinical classification for assessment of long-term results of surgical bile duct repair
IExcellentNo biliary symptoms with normal liver function
IIGoodTransitory symptoms, currently no symptoms and normal liver function
IIIFairClearly related symptoms requiring medical therapy and/or deteriorating liver function
IVPoorRecurrent stricture requiring correction, or related death