Topic - Bile duct injury and biliary stricture
1. Bile duct injury is an uncommon but important complication of lap cholecystectomy
2. Timely detection and management is the cornerstone
3. Patient needs Tertiary care with expert gastroenterologists, radiologists and gastrointestinal surgeons
4. Delay in treatment may lead to devastating consequences like liver cirrhosis, portal hypertension, and death
5. Endoscopists play a major role in majority of patients
6. Skilled gastrosurgeons are required for complicated bile duct injuries that can not be managed by other means
7. Laparoscopic surgery is also possible if conditions permit