Leaks from laparoscopic cholecystectomy.
Hepatogastroenterology
; 49(46): 924-5, 2002.
Article
em En
| MEDLINE
| ID: mdl-12143242
ABSTRACT
BACKGROUND/AIMS:
Significant postoperative bile leaks occur in approximately 1% of patients. The goal of endoscopic therapy is to eliminate the transpapillary pressure gradient, thereby permitting preferential transpapillary bile flow rather than extravasation at the site of leak.METHODOLOGY:
Sixty-four patients were retrospectively evaluated. Endoscopic treatment comprised endoscopic sphincterotomy followed by insertion of a naso-biliary drainage or a stent. Retained stones were extracted by standard procedures.RESULTS:
The site of bile extravasation was the cystic duct in 50 cases, ducts of Luschka in 4 cases, common bile duct in 6 cases and common hepatic duct in 4 cases. Retained bile duct stones were detected in 21 cases and papillary stenosis in 4 cases. Endoscopic sphincterotomy was performed in 25 cases, with stones extraction and nasobiliary drainage in 21 cases, and placement of stent in the remainder. Bile leaks resolved in 96.9% of patients, after endoscopic procedure. Two cases of mild pancreatitis were evidenced from endoscopic treatment.CONCLUSIONS:
Endoscopic management is the treatment of choice of postcholecystectomy bile leaks.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Fístula Biliar
/
Colecistectomia Laparoscópica
/
Síndrome Pós-Colecistectomia
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Hepatogastroenterology
Ano de publicação:
2002
Tipo de documento:
Article
País de afiliação:
Itália