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Kato Y et al. – The authors report a rare case of a CISC–related biliary stricture requiring resection. The patient had been receiving adjuvant HAIC for 11 months after a curative liver resection for hepatocellular carcinoma, when clinically overt cholangitis developed. Endoscopic biliary stenting was impossible because of her severe biliary sclerosis, necessitating resection of the stricture, which was confirmed histologically to be secondary sclerosing cholangitis. Thus, resection could be a treatment option for a CISC–related biliary stricture in selected patients.

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