Primary Sclerosing Cholangitis with Dilation of a Dominant Stenosis

AbstractThe majority of patients with primary sclerosing cholangitis (PSC) develop stenoses of major bile ducts. Stenoses may be recognized by magnetic resonance cholangiopancreatography, but for definite diagnosis and especially for therapeutic decisions, endoscopic retrograde cholangiography still represents the gold standard. Repeated balloon dilations allow opening of total or subtotal strictures of the large bile ducts, the so-called dominant stenoses. A case with PSC admitted for endoscopic treatment of dominant stenoses is demonstrated. This article is part of an expert video encyclopedia