Focal intrahepatic strictures: A review of diagnosis and management

Abstract

Introduction: Focal intrahepatic strictures are becoming more common owing to more prevalent and accurate cross-sectional imaging. However, data relating to their management are lacking. The purpose of the present review was to synthesize the current evidence regarding these lesions and to formulate a strategy for diagnosis and management. Methods: A literature search of relevant terms was performed using Medline. References of papers were subsequently searched to obtain older literature. Results: Focal intrahepatic strictures involve segmental hepatic ducts and/or left and right main hepatic ducts during their intrahepatic course. Most patients are asymptomatic while the minority present wi..