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- W2264874407 abstract "Biliary leaks may occur after abdominal surgery, trauma, percutaneous transhepatic cholangiography or transcatheter arterial embolization of hepatic tumor Various non-surgical methods have been used in the treatment of biliary leaks. This study demonstrated the efficacy of percutaneous catheter drainage (PCD) of biloma, endoscopic sphincterotomy(EST), endoscopic nasobiliary drainage (ENBD) and surgery. From April 1994 to March 2000, 19 patients were referred for management of post-operative biliary leaks. Diagnostic studies included sonography, computed tomography (CT scan), cholescintigraphy, aspiration of biloma, and endoscopic cholangiography (ERC). Therapeutic procedures included FCD, ESI ENBD and laparotomy. The leak sites were the cystic duct stump(6), right hepatic duct (2), left intrahepatic duct(1), common bile duct (7), and undefined(3). Eleven patients received FCD and in 7 of them the leak healed without further therapeutic endoscopy or surgery. Five patients among the latter belonged to biliary leaks fellowing T-tube removal. Eleven patients received therapeutic endoscopy(EST in 2, ENBD in 3 and both in 6). For most patients biliary leaks healed within 2 to 30 days after various non-surgical interventions except/br three patients who required laparotomy for abscess drainage (2) or for failed ERC (1). Non-surgical treatments of biliary leaks were effective in most of our patients. Laparotomy for biliary leaks with or without abscess drainage is occasionally required. Most of our patients recovered well except one patient who had biliary stricture as a late complication. Biliary leaks after T-tube removal can usually be treated by FCD alone and therapeutic endoscopy or surgery is not needed." @default.
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- W2264874407 date "2000-12-01" @default.
- W2264874407 modified "2023-10-17" @default.
- W2264874407 title "Diagnosis and Treatment of Post-Operative Biliary Leaks" @default.
- W2264874407 doi "https://doi.org/10.6557/gjtb.200012_17(4).0004" @default.
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