IgG4 Cholangiopathy Mimicking Cholangiocarcinoma: A Case Series

Abstract

cholecystectomy, operated between 2012 and 2020, was conducted. Demographics, co-morbidities, presenting symptoms, details of index surgery, type of lesion, preoperative and post-operative workup and therapeutic interventions were recorded. The biliary strictures were staged according to the Bismuth-Strasberg classification. A side to side anastomoses with Roux-en-Y reconstruction was performed in all cases. Complications, mortality, and long-term follow-up were recorded. Results: Eleven patients with benign biliary strictures were operated. the female to male ratio was 3:2. The mean age of the population under study was 30 years. All eleven cases operated were E3 according to the Strasberg classification. The operative time recorded was ranged between 240 -480 mins. The median value of bleeding was 200 mL (range 50-1100 mL). Oral intake was started in the first 48 hrs. No bile leak was noted in any of our patients. No patients have underwent re-intervention till date. No mortality was recorded. The maximum follow-up was 48 months (Range 2-48 months). Conclusion:The benefits of minimal access techniques may be utilized successfully in the management of benign biliary strictures with acceptable morbidity.