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• W2029686411 abstract "Bile leaks after cholecystectomy are relatively frequent. Laparoscopic as opposed to “open” cholecystectomy is thought to carry an increased risk for biliary tract injury. 1 Gouma DJ Go PM Bile duct injury during laparoscopic and conventional cholecystectomy. J Am Coll Surg. 1994; 178: 229-233 PubMed Google Scholar Although leaks from the cystic duct stump (CDS) and bile duct are more frequent, 2 Binmoeller KF Katon RM Shneidman R Endoscopic management of postoperative biliary leaks: review of 77 cases and report of two cases with biloma formation. Am J Gastroenterol. 1991; 86: 227-231 PubMed Google Scholar leaks originating from aberrant bile ducts are also relatively common. 3 Suhocki PV Meyers WC Injury to aberrant bile ducts during cholecystectomy: a common cause of diagnostic error and treatment delay. AJR Am J Roentgenol. 1999; 172: 955-959 Crossref PubMed Scopus (56) Google Scholar Communicating leaks are usually managed endoscopically by biliary sphincterotomy with or without nasobiliary drain or stent placement, 2 Binmoeller KF Katon RM Shneidman R Endoscopic management of postoperative biliary leaks: review of 77 cases and report of two cases with biloma formation. Am J Gastroenterol. 1991; 86: 227-231 PubMed Google Scholar , 4 Barkun AN Rezieg M Mehta SN Pavone E Landry S Barkun JS et al. Postcholecystectomy biliary leaks in the laparoscopic era: risk factors, presentation, and management. McGill Gallstone Treatment Group. Gastrointest Endosc. 1997; 45: 277-282 Abstract Full Text Full Text PDF PubMed Scopus (128) Google Scholar or by stent placement alone without sphincterotomy. 5 Marks JM Ponsky JL Shillingstad RB Singh J Biliary stenting is more effective than sphincterotomy in the resolution of biliary leaks. Surg Endosc. 1998; 12: 327-330 Crossref PubMed Scopus (56) Google Scholar However, noncommunicating leaks, which occur when an aberrant bile duct is severed, are not only challenging to manage endoscopically but also difficult to identify, thereby delaying treatment. 3 Suhocki PV Meyers WC Injury to aberrant bile ducts during cholecystectomy: a common cause of diagnostic error and treatment delay. AJR Am J Roentgenol. 1999; 172: 955-959 Crossref PubMed Scopus (56) Google Scholar Although leak sites have been embolized and sclerosed transhepatically, 6 Suhocki PV Clavien PA Percutaneous transhepatic creation of a choledochojejunostomy between an excluded aberrant bile duct and a Roux-en-Y limb. AJR Am J Roentgenol. 1999; 172: 655-657 Crossref PubMed Scopus (6) Google Scholar surgery is the predominant therapeutic option for patients with this complication of cholecystectomy. 7 Christensen RA van Sonnenberg E Nemcek Jr, AA D'Agostino HB Inadvertent ligation of the aberrant right hepatic duct at cholecystectomy: radiologic diagnosis and therapy. Radiology. 1992; 183: 549-553 PubMed Google Scholar , 8 Mergener K Strobel JC Suhocki P Jowell PS Enns RA Branch MS et al. The role of ERCP in diagnosis and management of accessory bile duct leaks after cholecystectomy. Gastrointest Endosc. 1999; 50: 527-531 Abstract Full Text Full Text PDF PubMed Scopus (63) Google Scholar , 9 Lillemoe KD Petrofski JA Choti MA Venbrux AC Cameron JL Isolated right segmental hepatic duct injury: a diagnostic and therapeutic challenge. J Gastrointest Surg. 2000; 4: 168-177 Crossref PubMed Scopus (58) Google Scholar Surgical therapy has limitations and it would be desirable if leak closure could be achieved by a less invasive endoscopic method. Two patients are described with leaks from a completely severed aberrant right hepatic ductal branch at cholecystectomy that were successfully identified and managed endoscopically." @default.
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• W2029686411 title "Endoscopic therapy for biliary leaks from aberrant right hepatic ducts severed during cholecystectomy" @default.
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