Benign And Malignant Strictures Treatment In India

Benign And Malignant Strictures

How to differentiate benign from malignant bile duct strictures ?

The main etiology of bile duct strictures closely related to the liver is a malignancy (cancer). However, the differentiation of benign and malignant strictures is notoriously difficult…

The consequences for the patient are considerable because cancer in this anatomical location requires extensive surgery with removal of a large part of the liver. Extensive work-up including multi-slice computed tomography (CT), colour Doppler ultrasonography and magnetic resonance imaging (MRI) may improve the diagnostic dilemma. However, up to date, no single investigation reliably differentiates malignant from benign bile duct strictures…

The consequences for the patient are considerable because cancer in this anatomical location requires extensive surgery with removal of a large part of the liver. Extensive work-up including multi-slice computed tomography (CT),..

A research article to be published on August 28, 2008 in the World Journal of Gastroenterology addresses this question. The research team led by Prof. van Gulik from the Surgical Department, analyzed a patient cohort that underwent resection for presumed malignancy of the bile duct, during the period 1998 to 2006…

Invasion of the blood vessels was based on the findings of colour Doppler ultrasonography defined as an increase of flow compatible with stenosis, or absence of flow compatible with occlusion..

Symptoms

The first symptom of the disease is almost always difficulty in swallowing. There is the feeling that food is getting stuck, often behind the lower end of the breastbone. At first the problem is only with solid food but later even semi-solids and liquids can cause problems…

Diagnosis

It can be diagnosed by using X-rays using special dye. Before the X-ray picture is taken, the patient will be asked to swallow a beaker of a whitish fluid called barium. X-ray pictures are taken as the barium travels down the gullet and into the stomach. The procedure is completely painless and provides valuable information about the size of any abnormality present…

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