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Endoscopic treatment of biliary injury in the era of laparoscopic cholecystectomy.

Authors :
Kozarek RA
Ball TJ
Patterson DJ
Brandabur JJ
Raltz S
Traverso LW
Source :
Gastrointestinal endoscopy [Gastrointest Endosc] 1994 Jan-Feb; Vol. 40 (1), pp. 10-6.
Publication Year :
1994

Abstract

During a 2-year period in which the application of laparoscopic cholecystectomy became widespread in the Pacific Northwest, 33 patients with surgically related bile duct injury were seen by the gastroenterology section of a large multi-specialty clinic. Twenty-nine of these patients had anatomy amenable to endoscopic approach, and 25 of the 29 are symptom-free, with normal ultrasonography and serum liver function tests, at a minimum of 1 year of follow-up after undergoing a variety of endotherapeutic procedures. The authors conclude that endoscopic therapy, in conjunction with percutaneous drainage of large bilomas, is effective treatment for cystic duct leak and minor damage to the common bile duct. Further data and prolonged follow-up are required in patients with more significant biliary injury who undergo endoscopic endoprosthesis and/or dilation therapy.

Details

Language :
English
ISSN :
0016-5107
Volume :
40
Issue :
1
Database :
MEDLINE
Journal :
Gastrointestinal endoscopy
Publication Type :
Academic Journal
Accession number :
8163109
Full Text :
https://doi.org/10.1016/s0016-5107(94)70003-6