caa a22 4500 606247785 CHVBK 20210128101347.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-013-0940-2 doi (NATIONALLICENCE)springer-10.1007/s12262-013-0940-2 Surgical Management of Benign Biliary Stricture in Chronic Pancreatitis: A Single-Center Experience [Elektronische Daten] [Sukanta Ray, Supriyo Ghatak, Khaunish Das, Jayanta Dasgupta, Sujay Ray, Sujan Khamrui, Pankaj Sonar, Somak Das] Biliary stricture in chronic pancreatitis (CP) is not uncommon. Previously, all cases were managed by surgery. Nowadays, three important modes of treatment in these patients are observation, endoscopic therapy, and surgery. In the modern era, surgery is recommended only in a subset of patients who develop biliary symptoms or those who have asymptomatic biliary stricture and require surgery for intractable abdominal pain. We want to report on our experience regarding surgical management of CP-induced benign biliary stricture. Over a period of 5years, we have managed 340 cases of CP at our institution. Bile duct stricture was found in 62 patients. But, surgical intervention was required in 44 patients, and the remaining 18 patients were managed conservatively. Demographic data, operative procedures, postoperative complications, and follow-up parameters of these patients were collected from our prospective database. A total 44 patients were operated for biliary obstruction in the background of CP. Three patients were excluded, so the final analysis was based on 41 patients. The indication for surgery was symptomatic biliary stricture in 27 patients and asymptomatic biliary stricture with intractable abdominal pain in 14 patients. The most commonly performed operation was Frey's procedure. There was no inhospital mortality. Thirty-five patients were well at a mean follow-up of 24.4months (range 3 to 54months). Surgery is still the best option for CP-induced benign biliary stricture, and Frey's procedure is a versatile operation unless you suspect malignancy as the cause of biliary obstruction. Association of Surgeons of India, 2013 Chronic pancreatitis nationallicence Biliary stricture nationallicence Frey's procedure nationallicence Jaundice nationallicence Ray Sukanta Division of Surgical Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, 244 A. J. C. Bose Road, 700020, Kolkata, West Bengal, India aut Ghatak Supriyo Division of Surgical Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, 244 A. J. C. Bose Road, 700020, Kolkata, West Bengal, India aut Das Khaunish Division of Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, 244 A. J. C. Bose Road, 700020, Kolkata, West Bengal, India aut Dasgupta Jayanta Division of Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, 244 A. J. C. Bose Road, 700020, Kolkata, West Bengal, India aut Ray Sujay Division of Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, 244 A. J. C. Bose Road, 700020, Kolkata, West Bengal, India aut Khamrui Sujan Division of Surgical Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, 244 A. J. C. Bose Road, 700020, Kolkata, West Bengal, India aut Sonar Pankaj Division of Surgical Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, 244 A. J. C. Bose Road, 700020, Kolkata, West Bengal, India aut Das Somak Division of Surgical Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, 244 A. J. C. Bose Road, 700020, Kolkata, West Bengal, India aut Indian Journal of Surgery Springer India 77(2015-12-01), 608-613 0972-2068 77<608 2015 77 12262 https://doi.org/10.1007/s12262-013-0940-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-013-0940-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ray Sukanta Division of Surgical Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, 244 A. J. C. Bose Road, 700020, Kolkata, West Bengal, India aut NATIONALLICENCE 700 1- Ghatak Supriyo Division of Surgical Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, 244 A. J. C. Bose Road, 700020, Kolkata, West Bengal, India aut NATIONALLICENCE 700 1- Das Khaunish Division of Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, 244 A. J. C. Bose Road, 700020, Kolkata, West Bengal, India aut NATIONALLICENCE 700 1- Dasgupta Jayanta Division of Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, 244 A. J. C. Bose Road, 700020, Kolkata, West Bengal, India aut NATIONALLICENCE 700 1- Ray Sujay Division of Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, 244 A. J. C. Bose Road, 700020, Kolkata, West Bengal, India aut NATIONALLICENCE 700 1- Khamrui Sujan Division of Surgical Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, 244 A. J. C. Bose Road, 700020, Kolkata, West Bengal, India aut NATIONALLICENCE 700 1- Sonar Pankaj Division of Surgical Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, 244 A. J. C. Bose Road, 700020, Kolkata, West Bengal, India aut NATIONALLICENCE 700 1- Das Somak Division of Surgical Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, 244 A. J. C. Bose Road, 700020, Kolkata, West Bengal, India aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 608-613 0972-2068 77<608 2015 77 12262