iLearning Recorded Webinar
Management of Biliary Strictures
Overview
There are three current treatment options for biliary stricture management: open surgery, percutaneous radiologic interventions and endoscopic therapy. Each modality offers advantages over the others in specific clinical situations. In this one-hour continuing education recorded webinar, the speaker will utilize lecture and video case studies to review considerations in the endoscopic management of biliary strictures, detailing instrumentation and technology.
This learner-paced education activity is intended primarily for RNs with a responsibility for or an interest in the endoscopic or radioscopic management of biliary strictures. The presentation will also be of interest to allied healthcare personnel in Endoscopy.
Upon completion of this presentation, participants will be able to:
1) Describe three types of common biliary strictures encountered in the GI Suite
2) List diagnosis and treatment options for malignant and benign biliary strictures
3) Discuss differences between plastic and metal stents in biliary stricture management options
Participants will complete the recorded webinar learning activity. They will view the presentation, then register to complete the evaluation and take the post-test on the website. They will submit the documentation as directed. A bibliographic reference is included for those wishing additional information.
Upon successful completion of the entire online program and submission of required documentation, participants will be granted 1 contact hour. No partial credit will be granted.
Provider approved by the California Board of Registered Nursing, Provider Number 08747, the District of Columbia Board of Nursing, Provider Number 50-574, the Florida Board of Registered Nursing, Provider Number 50-574 and the Georgia Board of Nursing, Provider Number 50-574.
According to the criteria of the American Board of Certification for Gastroenterology Nurses (ABCGN), contact hours earned in this activity are considered GI Specific for the purpose of recertification through the ABCGN
1. Successful completion: Participants must attend the entire program, submit required documentation and achieve a passing score of 80% on the post-test.
2. Conflict of interest: Planners disclose no conflict of interest; the speaker, as an employee of the commercial support entity, hereby discloses a conflict of interest. The speaker has signed a statement agreeing to present information without bias.
3. Commercial company support: Fees are underwritten by education funding provided by Boston Scientific.
4. Non-commercial company support: None.
5. Complementary/Alternative therapy: None.
6. Implicit bias: Educational Dimensions supports efforts to eliminate health care disparities and implicit bias in medical treatment along lines of race, ethnicity, gender identity, sexual orientation, age, socioeconomic status, or other characteristics in CNE activities addressing direct patient care.
Participants successfully completing the activity and submitting required documentation will be permitted to print a certificate of completion. Participants are advised to retain the certificate for eight years following activity completion.
Replacement of misplaced certificate is available from Educational Dimensions. There is a fee for this service. Request a replacement by contacting us.
Guide to Study
The following steps will assist you in your successful completion of this eLearning Activity.
- Read the content or view the recorded presentation. If you want contact hours at the completion of studying the eLearning material, you will be required to register, complete an evaluation and take a post-test prior to printing your Certificate of Completion. We urge you to complete the eLearning activity once you have started. However, if you do need to come back later, you can sign in with your email and eLearning ID.
- First Time Visitors will be asked to register using an email address as your User Name. Make a note which email address you have used. Then you will create an eLearning ID using a combination of at least 6-10 letters or numbers. Please make a note of your eLearning ID and if for some reason you forget, you may request that your eLearning ID be sent to you. The web site is secured by Trustwave.
- Return Visitors: If you have registered already you do not need to register again. Just Sign In using your email and eLearning ID.
- Evaluation Form: Once you have registered or signed in you will be asked to complete an evaluation form and submit it. This is required to obtain the Certificate of Completion.
- Post-test: A post-test, based on the content of the eLearning activity, will need to be taken. A passing score of 80% is required. This is required to obtain the Certificate of Completion.
- Printing Your Certificate of Completion: Once you have successfully passed the post-test you will be able to print your Certificate of Completion. You will be given an opportunity to verify the information that will be printed on your certificate. Please make sure your printer is ready to print. You will not have access to the certificate page on later visits unless you contact us. Once you choose to print the Certificate of Completion, it will not be possible to make corrections. To obtain a corrected certificate you will need to contact Educational Dimensions. Fees may apply.
- Browser recommendations: We require using an up-to-date browser with JavaScript enabled. You must enable cookies from this site in order to access the secure areas.
- If you encounter any technical problems during this eLearning activity, please contact us.
Recorded Webinar Video
CNE Certificate Process
Note: Your computer should be connected to a printer before completing the Post-Testing in order to permit printing your course certificate.
Suggested Readings
Management of Biliary Strictures
American Society of Gastrointestinal Endoscopy (ASGE) Guideline. (2013). The role of endoscopy in the evaluation and treatment of patients with biliary neoplasia. 77(2).
Chathadi, KV et al. (2015). The role of ERCP in benign diseases of the biliary tract. Gastrointestinal Endoscopy. 81(4). http://dx.doi.org/10.1016/j.gie.2014.11019.
Dorrell, R et al. (2020). The Diagnostic Dilemma of malignant Biliary Strictures. Diagnostics 2020:10,337.
Elmunzer, BJ et al (2023). ACG Clinical Guideline: Diagnosis and Management of Biliary Strictures. Am J Gastroenterol; 118: 405-426.
Floch, MH et al. (2020). Netter’s Gastroenterology 3rd ed. Elsevier, Inc. ISBN: 978-0-323-59624-4.
Gastroenterology Nursing: A Core Curriculum. 6th ed (2019). Society of Gastroenterology Nurses and Associates. ISBN: 978-0-9855091-6-3
Jarosova, J et al (2021). Endoscopic radiofrequency ablation for malignant biliary obstruction. World J Gastrointest Oncol; 13(10): 1383-1396. DOI: 10.4251/wjgo.v13.i10.1383.
Martins, P & Machado, MV. (2020). Secondary Sclerosing Cholangitis in Critically Ill Patients: An Underdiagnosed Entity. Portuguese Journal of Gastroenterology. 2020:27: 103-114.
DOI: 10.1159/000501405.
Patel, et al. (2013). Multidetector CT of Emergent Biliary Pathologic Conditions. RadioGraphics 2013 33(7): 1867-1888. 10.1148/rg.337125038. radiographics.rsna.org.
Pereira, SP et al. The endoscopist and malignant and non-malignant biliary obstruction. BBA-Molecular Basis of Disease 1864 (2018): 1478-1483. www.elsevier.com/locate/bbadis.
Ramchandani, M et al. (2021). Fully Covered Self-Expanding Metal Stent Versus Multiple Plastic Stents to Treat Benign Biliary Strictures Secondary to Chronic Pancreatitis: A Multicenter Randomized Trial. Gastroenterology 2021. PMID: 33741314. DOI: 10.1053/j.gastro.2021.03.015.
Tew DF, Tuma F. Percutaneous Cholangiography. [Updated 2020 May 6]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK553152/
Xiang, Ma, M et al. (2019). Benign biliary strictures: prevalence, impact, and management strategies. Clinical and Experimental Gastroenterology. 2019:12. Dovepress.
Wang, F et al. (2016). Endoscopic radiofrequency ablation for malignant biliary strictures. Experimental and Therapeutic Medicine II: 2484-2488. DOI: 10.3892/etm.2016.3235.
Yuan, F et al (2022). Management Strategies for Benign Biliary Strictures. Digestive Disease Interventions; 6(3/2022). Thieme. DOI: https://doi.org/10.1055/s-0042-1755312.
