Matches in SemOpenAlex for { <https://semopenalex.org/work/W2003566001> ?p ?o ?g. }
Showing items 1 to 53 of
53
with 100 items per page.
- W2003566001 endingPage "032" @default.
- W2003566001 startingPage "027" @default.
- W2003566001 abstract "Abstract Bile duct injuries and subsequent leaks can occur following laparoscopic and open cholecystectomies and also during other hepatobiliary surgeries. Various patient related and technical factors are implicated in the causation of biliary injuries. Over a period of twenty five years managing such patients of biliary injuries our team has found a practical approach to assess the cause of biliary injuries based on the symptoms, clinical examination and imaging. Bismuth classification is helpful in most of the cases. Immediate referral to a centre experienced in the management of bile duct injury and timely intervention is associated with improved outcomes. Resuscitation, correcting dyselectrolytemia, aspiration of undrained biloma and antibiotics take the priority in the management. The goal is to restore the bile conduit, and to prevent short and longterm complications such as biliary fistula, intra-abdominal abscess, biliary stricture, recurrent cholangitis and secondary biliary cirrhosis. Endoscopic therapy by reducing the transpapillary pressure gradient helps in reducing the leak. Endoscopic therapy with biliary sphincterotomy alone or with additional placement of a biliary stent/nasobiliary drainage is advocated. In our tertiary care referral unit, we found endoscopic interventions are useful in situations where there is leak with associated CBD calculus or a foreign body, peripheral bile duct injury, cystic duct stump leak and partial bile duct injury with leak/narrowing of the lumen. Endotherapy is not useful in case of complete transection (total cut off) and complete stricture involving common hepatic or common bile ducts. In conclusion, endoscopic treatment can be considered a highly effective therapy and should be the first-line therapy in such patients. Though less successful, an endoscopic attempt is warranted in patients suffering from central bile duct leakages failing which surgical management is recommended." @default.
- W2003566001 created "2016-06-24" @default.
- W2003566001 creator A5065626385 @default.
- W2003566001 creator A5076497197 @default.
- W2003566001 creator A5083757991 @default.
- W2003566001 date "2012-01-01" @default.
- W2003566001 modified "2023-10-16" @default.
- W2003566001 title "Endoscopic management of biliary injuries and leaks" @default.
- W2003566001 doi "https://doi.org/10.4103/0976-5042.95027" @default.
- W2003566001 hasPublicationYear "2012" @default.
- W2003566001 type Work @default.
- W2003566001 sameAs 2003566001 @default.
- W2003566001 citedByCount "0" @default.
- W2003566001 crossrefType "journal-article" @default.
- W2003566001 hasAuthorship W2003566001A5065626385 @default.
- W2003566001 hasAuthorship W2003566001A5076497197 @default.
- W2003566001 hasAuthorship W2003566001A5083757991 @default.
- W2003566001 hasBestOaLocation W20035660011 @default.
- W2003566001 hasConcept C141071460 @default.
- W2003566001 hasConcept C2776341189 @default.
- W2003566001 hasConcept C2776884468 @default.
- W2003566001 hasConcept C2779340996 @default.
- W2003566001 hasConcept C2779777945 @default.
- W2003566001 hasConcept C61434518 @default.
- W2003566001 hasConcept C71924100 @default.
- W2003566001 hasConceptScore W2003566001C141071460 @default.
- W2003566001 hasConceptScore W2003566001C2776341189 @default.
- W2003566001 hasConceptScore W2003566001C2776884468 @default.
- W2003566001 hasConceptScore W2003566001C2779340996 @default.
- W2003566001 hasConceptScore W2003566001C2779777945 @default.
- W2003566001 hasConceptScore W2003566001C61434518 @default.
- W2003566001 hasConceptScore W2003566001C71924100 @default.
- W2003566001 hasIssue "S 05" @default.
- W2003566001 hasLocation W20035660011 @default.
- W2003566001 hasOpenAccess W2003566001 @default.
- W2003566001 hasPrimaryLocation W20035660011 @default.
- W2003566001 hasRelatedWork W2063108496 @default.
- W2003566001 hasRelatedWork W2122253470 @default.
- W2003566001 hasRelatedWork W2384963016 @default.
- W2003566001 hasRelatedWork W2387952650 @default.
- W2003566001 hasRelatedWork W2394639341 @default.
- W2003566001 hasRelatedWork W2461604161 @default.
- W2003566001 hasRelatedWork W2944238428 @default.
- W2003566001 hasRelatedWork W3011470377 @default.
- W2003566001 hasRelatedWork W3014604056 @default.
- W2003566001 hasRelatedWork W3027766986 @default.
- W2003566001 hasVolume "03" @default.
- W2003566001 isParatext "false" @default.
- W2003566001 isRetracted "false" @default.
- W2003566001 magId "2003566001" @default.
- W2003566001 workType "article" @default.