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Articles Published Processes
2/20/2017 5:58:00 PM | Browse: 1033 | Download: 1227
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Received |
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2016-09-14 08:23 |
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Peer-Review Started |
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2016-09-16 12:29 |
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To Make the First Decision |
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2016-11-21 08:42 |
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Return for Revision |
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2016-11-23 17:31 |
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Revised |
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2016-12-10 02:26 |
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Second Decision |
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2017-01-16 11:01 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Executive Editor-in-Chief |
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2017-01-18 16:17 |
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Articles in Press |
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2017-01-18 16:17 |
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Publication Fee Transferred |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2017-02-07 21:59 |
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Publish the Manuscript Online |
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2017-02-20 17:58 |
ISSN |
1007-9327 (print) and 2219-2840 (online) |
Open Access |
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
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Copyright |
© The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
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Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
Website |
http://www.wjgnet.com |
Category |
Gastroenterology & Hepatology |
Manuscript Type |
Editorial |
Article Title |
Common controversies in management of biliary strictures
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Manuscript Source |
Invited Manuscript |
All Author List |
Mansour A Parsi |
Funding Agency and Grant Number |
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Corresponding Author |
Mansour A Parsi, MD, MPH, Center for Endoscopy and Pancreatobiliary Disorders, Department of Gastroenterology and Hepatology, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, United States. parsim@ccf.org
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Key Words |
Biliary stricture; Benign; Primary sclerosing cholangitis; Malignant; Controversy; Biliary drainage; Preoperative; Hilar stricture |
Core Tip |
Based on available evidence preoperative biliary drainage is not routinely indicated in resectable malignant strictures. However, it is appropriate in acute cholangitis, in severely symptomatic patients and in those with delayed surgery. In patients with unresectable hilar stricture, cross-sectional imaging is advised prior to attempt at palliative drainage. In such patients unilateral stenting during endoscopic retrograde cholangiopancreatography is adequate in most cases. Routine stenting of dominant strictures in primary sclerosing cholangitis patients is not recom-mended. Stenting of dominant strictures is appropriate if there is poor drainage of contrast after dilatation or concern for collapse of the bile duct compromising biliary drainage.
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Publish Date |
2017-02-20 17:58 |
Citation |
Parsi MA. Common controversies in management of biliary strictures. World J Gastroenterol 2017; 23(7): 1119-1124 |
URL |
http://www.wjgnet.com/1007-9327/full/v23/i7/1119.htm |
DOI |
http://dx.doi.org/10.3748/wjg.v23.i7.1119 |
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