Severe Primary Sclerosing Cholangitis Biliary Stricture Managed With a Small-Caliber Cardiac Angioplasty Balloon: Looking Outside the Endoscopic Retrograde Cholangiopancreatography Toolbox

被引:2
|
作者
Simons-Linares, C. Roberto [1 ]
O'Shea, Robert [1 ]
Chahal, Prabhleen [1 ]
机构
[1] Cleveland Clin Fdn, Digest Dis Inst, Gastroenterol & Hepatol Dept, 9500 Euclid Ave, Cleveland, OH 44195 USA
关键词
D O I
10.14309/crj.0000000000000141
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Primary sclerosing cholangitis leads to biliary obstruction through a dominant biliary stricture. Endoscopic management of biliary strictures with balloon dilation is preferred over percutaneous radiological or surgical interventions. High-grade biliary strictures can be challenging to manage endoscopically because the traditional endoscopic retrograde cholangiopancreatography accessories fail to traverse these severely stenotic strictures. We describe a case of endoscopic management of a severe primary sclerosing cholangitis-related distal biliary stricture managed with a cardiac angioplasty balloon after failed attempts using the standard endoscopic retrograde cholangiopancreatography accessories and percutaneous radiological intervention.
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