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- W2895094185 abstract "Introduction: Necrotising Pancreatitis is a challenging problem and pancreatic necrosectomy is associated with significant morbidity and mortality even in high volume centres.Following Necrosectomy intra operative and immediate postoperative bile leak is a rare complication and associated with high mortality.The aim of this study is to present our experience in general and to highlight the biliary complications in particular. Methods: The clinical outcome of patients who underwent pancreatic necrosecctomy with emphasis on biliary complications in the last 7 years in our institute was studied. Results: Six Patients had bile leak and four of them were detected on table and in two patients in immediate post op period. In three subjects the cause of bile leak was identified and rescued without mortality.(Two from small bowel fistula and one from previous cysto gastrostomy stent) four out of six in whom there was bile leak were salvaged. Conclusion: Management of Necrotising Pancreatitis requires Multidisciplinary team approach. Early detection of complications and timely intervention by experienced team is the key. Bile leak patients will have very high morbidity and mortality. In patients with bile leak, identifying the cause and appropriate management resulted in better outcomes." @default.
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- W2895094185 date "2018-09-01" @default.
- W2895094185 modified "2023-09-30" @default.
- W2895094185 title "Biliary complications in pancreatic necrosectomy" @default.
- W2895094185 doi "https://doi.org/10.1016/j.hpb.2018.06.1888" @default.
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