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The Egyptian Journal of Internal Medicine
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Frequency of malignant biliary strictures in Upper Egypt: a pilot study

The Egyptian Journal of Internal Medicine volume 31, pages 836–839 (2019)Cite this article

Abstract

Background and aim

Biliary strictures are challenging clinical condition for gastroenterologists, radiologists, and surgical specialists. We aimed to find out the frequency of malignant biliary strictures in our institutions.

Patients and methods

This prospective study included 44 patients with biliary strictures who had undergone endoscopic retrograde cholangiopancreatography (ERCP) and magnetic resonance cholangiopancreatography (MRCP) in Aswan and Assiut University Hospitals.

Results

Thirty two patients (72.7%) had malignant strictures where distal stricture was the most frequent (68.8%) followed by hilar (25%) then mid and long segment strictures (3.1% each).

Conclusion

The vast majority of indeterminate biliary strictures are malignant (72.7%), so all indeterminate bile duct strictures in patients with obstructive jaundice should be considered malignant unless a benign etiology is definitively identifiable.

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Authors and Affiliations

  1. Department of Tropical Medicine and Gastroenterology, Faculty of Medicine, Assiut University, Aswan, Egypt

    Adnan A. Mohamed

  2. Department of General Surgery, Faculty of Medicine, Assiut University, Aswan, Egypt

    Ahmed M. Ali & Mahmoud R. Shehata

  3. Department of Internal Medicine, Faculty of Medicine, Assiut University, Aswan, 81528, Egypt

    Wael A. Elsewify MD (Lecturer of Internal Medicine)

  4. Department of Radiodiagnosis, Faculty of Medicine, Assiut University, Aswan, Egypt

    Salah Maklad

Authors
  1. Adnan A. Mohamed
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  2. Ahmed M. Ali
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  3. Mahmoud R. Shehata
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  4. Wael A. Elsewify MD
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  5. Salah Maklad
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Corresponding author

Correspondence to Wael A. Elsewify MD.

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Mohamed, A.A., Ali, A.M., Shehata, M.R. et al. Frequency of malignant biliary strictures in Upper Egypt: a pilot study. Egypt J Intern Med 31, 836–839 (2019). https://doi.org/10.4103/ejim.ejim_128_19

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  • DOI: https://doi.org/10.4103/ejim.ejim_128_19

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