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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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