Evaluate the lower indeterminate CBD strictures trying to reach possible diagnosis by all available methods i.e brush cytology ,bile aspirate cytology , tissue biopsy ,imaging studies and laboratory work up then treatment of the patient either endoscopically or surgically according to the etiology.
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
number of patients who are successfully treated of CBD strictures by endoscopy or by surgery
Timeframe: follow up of the patient for 6 - 9 months
reach a proper algorithm or scheme for management of the CBD stricture
Timeframe: follow up of the patient for 6 - 9 months
mohamed elsayed abdel aal, master degree general surgery