Wide lumen metal stent in benign biliary stricture

ABSTRACT

In the last 10 years 44 patients with malignant stricture and 37 patients with benign stricture were diagnosed and managed in our unit. For both types of strictures we applied either a surgical, endoscopic or combined approach for managing these patients. In two patients with benign biliary stricture we performed endoscopic dilatations and/or single or double stenting repeatedly and despite performing the procedure [five times in one and 11 times in the other] and with the use of 7 or 10 French plastic stents, the outcome was disappointing and strictures were refractory to dilatation and long-term stenting. In these two cases we inserted large lumen metal stents with excellent outcome and no recurrence of cholangitis or any cholestasis. To our knowledge this was the first report on the use of metal stents in benign biliary strictures in Saudi Arabia