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Estenosis biliar - Treatment

Nombres alternativos

Estenosis de las vías biliares

Tratamiento:

El objetivo del tratamiento es corregir el estrechamiento y ayudar a que la bilis fluya normalmente del hígado al intestino. Esto puede implicar cirugía o procedimientos menos invasivos (dilatación endoscópica o percutánea). Dependiendo de su localización, si se realiza la cirugía, la estenosis se puede eliminar y el conducto colédoco se puede reconectar al intestino delgado.

En algunos pacientes, se coloca un stent o endoprótesis (un pequeño tubo de malla plástica o metálica) a través de la estenosis de la vía biliar para mantenerla abierta. Ver: stent

Expectativas (pronóstico):

El tratamiento suele tener éxito.

Complicaciones:

La inflamación recurrente de la vía biliar y la estenosis pueden ocurrir en algunos pacientes. Los pacientes están en riesgo de desarrollar infección sobre la estenosis y las estenosis que duran mucho tiempo pueden llevar a que se presente cirrosis.

Situaciones que requieren asistencia médica:

Solicite una cita con el médico si los síntomas reaparecen después de una pancreatitis, una colecistectomía u otra cirugía biliar.

  • Reviewed last on: 5/23/2010
  • David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc., and George F Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, California.

Referencias

Ostroff JW, LaBerge JM. Endoscopic and radiologic treatment of biliary disease. In: Feldman M, Friedman LS, Sleisenger MH, eds. Sleisenger and Fordtran’s Gastrointestinal and Liver Disease. 8th ed. Philadelphia, Pa: Saunders Elsevier; 2006:chap 67.

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