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What is the bile duct stenosis?
The size of the bile duct diminishes and become narrow during the stenosis of the bile duct called as the bile duct strictures. The bile duct is the channel taking the bile from the liver to the small intestine. It is difficult to digest foods as the bile can not flow to the small intestine as a result of stenosis of the bile duct. Bile is a substance that helps to dissolve the fat. No symptoms may be present in patients with mild bile stenosis. Jaundice (yellowing of the skin), itching, light color defecation may be present.
Bile duct carcinoma is divided into different types according to their location:
What is the reason of the bile duct stenosis?
- Any injury to the bile duct (gall bladder operation or presence of gall stone in the bile duct). Today, the main cause of gallbladder stenosis is gall bladder surgery. The probability of occurrence of the gallbladder stricture in these operations is between 0.2 - 0.4%.
- Bile duct cancer (see for detailed information)
- Pancreas (pancreatic inflammation)
- Pancreatic cancer (see for detailed information)
What are the symptoms of the bile duct stricture?
- Pain at the top of the abdomen
- Chill and fever
- Jaundice
- Itching
- Stomach nausea and vomiting
- Gray or pale color defecation
Diagnosis
History: It is suggested that the cause of biliary stricture is due to the past gall bladder surgery. The flow of bile from the drainage placed on the operation area denotes the presence of the problems related with the bile duct. If you have weight loss and jaundice, the stenosis is mostly related with the cancer.
Blood analysis: High level of some substances of bile in the blood indicates the stenosis of the bile ducts.
Abdominal US: Abdominal US firstly used to detect the problems in the bile ducts. Abdominal US is the first radiological method used to show the problems in the bile duct.
Magnetic Imaging: Cholangiopancreaticography (MRCP) is a major diagnostic tool for detailed study of bile duct stenosis.
Treatment
Treatment of biliary tract injuries is performed in collaboration with interventional radiology, interventional gastroenteretrology and surgery. Stenting and surgical procedures are preferred according to the location, cause and degree of stenosis. It is necessary to make a special decision for each patient.
Your surgeon will inform you about the type of operation.
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