A biliary stricture is a narrowing of the common bile duct. When this happens, bile can back up into the liver, causing abdominal pain, nausea, itching, fever, chills, and jaundice. Strictures can be caused during surgery on nearby tissues, such as the gallbladder. Other conditions, including pancreatitis, gallstones, or primary sclerosing cholangitis, can also cause biliary stricture. Treatment involves surgery to reopen the duct so that bile flow can return to normal.