Treatment of Chronic Pancreatitis with Biliary Stricture
This page covers the management of biliary stricture associated with chronic pancreatitis — a specific complication that requires dedicated biliary intervention.
Clinical Situation
The patient has chronic pancreatitis with concurrent bile duct stricture. This comorbidity is the central driver of the treatment approach and shapes the selection of intervention described in the full protocol.
Treatment Approach (Partial)
Management involves biliary stenting. The full protocol defines which stent configuration is recommended, and specifies the circumstances under which a more limited option is applicable. The complete structured regimen is available via the link below.
References
DOI: 10.1007/s00535-022-01911-6
- The recommendation is to insert multiple plastic stents or a fully covered self-expandable metallic stent (FCSEMS) for CP-associated biliary stricture.
- However, both procedures are difficult to perform, and it is permissible to insert a single plastic stent in an emergency or for a short period of time.
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