J Clin Outcomes Manage
2012 Oct;19(10):465-469, 472-479
Diagnosis and management of biliary obstruction
Laing PJ, Adler DG
Abstract Objective: To review diagnosis and management of biliary obstruction. Methods: Review of the literature. Results: Biliary obstruction remains a common problem. Causes include choledocholithiasis, benign strictures, post-surgical injury, primary bile duct cancer, and pancreatic cancers. All of the problems can produce biliary obstruction, yet each is managed differently. The physical examination, laboratory studies, and imaging modalities available can help with the selection of the appropriate intervention. A multidisciplinary approach is recommended. Conclusion: Patients with biliary obstruction can be rapidly diagnosed and treated. Long-term outcomes are generally dependent on the nature of the underlying disease state.
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