A benign biliary stricture is a non-cancerous narrowing of the bile ducts, which transport bile from the liver and gall bladder to the small intestine. This narrowing restricts the flow of bile, leading to a buildup that can cause liver damage or infections if left untreated.
Benign biliary strictures are often caused by inflammation or scarring, typically resulting from previous surgeries, such as gall bladder removal (cholecystectomy), or from conditions like chronic pancreatitis. Trauma or injury to the bile ducts can also lead to the formation of these strictures.
Symptoms of a benign biliary stricture include jaundice (yellowing of the skin and eyes), dark urine, pale stools, itching, and abdominal pain. Patients may also experience nausea, vomiting, and fatigue due to the reduced bile flow and the resultant digestive issues.
Diagnosis of a biliary stricture is typically performed using imaging techniques such as MRCP (Magnetic Resonance Cholangiopancreatography) or ERCP (Endoscopic Retrograde Cholangiopancreatography). These procedures allow doctors to visualize the bile ducts and confirm the presence and extent of the narrowing.
Treatment options for benign biliary strictures include endoscopic or surgical procedures to widen the bile duct. These may involve placing a stent to keep the duct open or surgically reconstructing the affected area. Early diagnosis and treatment are essential to prevent further complications such as biliary cirrhosis or infections.