Benign Biliary Tract Disease

Question 1

What is biliary atresia

Answer 1

One or more bile ducts are abnormally blocked, narrowed or absent

Question 2

3 types of atresia

Answer 2

1 - atresia restricted to CBD
2 - Atresia of common hepatic duct
3 - Atresia involves most of proximal parts of bile duct

Question 3

What are choledochal cysts

Answer 3

Cystic dilation of bile ducts

Question 4

What can cause a benign biliary stricture

Answer 4

Iatrogenic
Gallstones
Inflammation

Question 5

What does Strasberg classification differentiate

Answer 5

Iatrogenic bile duct injuries:

Between small and serious injuries performed during laparoscopic cholecystectomy

Question 6

What is PSC

Answer 6

Inflammation of the bile ducts with stricturing and sclerosis of the ducts

Question 7

What is a biliary enteric fistula

Answer 7

Bile flows along an abnormal connection from the small intestine

Question 8

Risk factors for cholangiocarcinoma

Answer 8

PSC
Congenital cystic disease
Biliary-enteric drainage
Hepatolithiasis

Question 9

Management of cholangiocarcinoma

Answer 9

Surgical - cure

Palliative

• bypass
• stenting
• radiotherapy
• Chemotherapy
• PDT

Question 10

3 types of intrahepatic cholangiocarcinoma

Answer 10

Mass forming
Peri-ductal
Intra-ductal

Question 11

Who is likely to have gallbladder cancer and what is the prognosis

Answer 11

Those with gallstones

Poor prognosis as agressive