Endoscopic management of bile duct strictures

Abstract

, 34% male vs 32%). The 2 techniques allow 100% of CBD clearance. Intraoperative ERCP had an ideal clearance of CBD of 62% and 10% in the other group (p <0.001). The frequency of the biliary drainage was 17% after intraoperative ERCP and 28% after surgical approach (p = 0.014). The frequency of abdominal drainage was 38% after intraoperative ERCP and 86% after surgical approach (p <0.001). Morbidity and mortality were identical. Hospital stay was 6 days [1e29] and 8 days [1-41] after ERCP and surgical approach, respectively (p = 0.03). Conclusions: The rate CBD of clearance is equivalent for both techniques and the choice between the 2 techniques depends mainly on the surgical team usual practice. However, intraoperative ERCP with laparoscopic cholecystectomy may be preferred due to the low rate of abdominal and biliary drainage.