scholarly journals EUS-guided rendezvous technique for refractory benign biliary stricture caused by postoperative bile-duct injury

VideoGIE ◽  
2017 ◽  
Vol 2 (12) ◽  
pp. 326-327 ◽  
Author(s):  
Yukitoshi Matsunami ◽  
Takao Itoi ◽  
Takayoshi Tsuchiya ◽  
Ryosuke Tonozuka ◽  
Shuntaro Mukai
Keyword(s):  
Bile Duct ◽  
Bile Duct Injury ◽  
Biliary Stricture ◽  
Benign Biliary Stricture ◽  
Rendezvous Technique

The management of benign biliary strictures

2018 ◽  
Vol 4 (1) ◽  
pp. 60-67
Author(s):  
Bharath Kumar Bhat ◽  
Shailendra Lalwani ◽  
Siddharth Mehrotra ◽  
Vivek Mangla ◽  
Amitabh Yadav ◽  
...  
Keyword(s):  
Bile Duct ◽  
Bile Duct Injury ◽  
Multidisciplinary Approach ◽  
Biliary Stricture ◽  
Benign Biliary Stricture ◽  
Biliary Strictures ◽  
Benign Condition ◽  
Common Cause ◽  
Benign Biliary Strictures ◽  
Improved Learning

The most common cause of Benign Biliary Stricture is post cholecystectomy bile duct injury. Following introduction of the laparoscopic cholecystectomy procedure the incidence of bile duct injury and stricture has increased. The studies suggest that the incidence remained stable even after the improved learning curve. The early diagnosis and prompt management is the key in preventing devastating sequelae of this benign condition. The management of post cholecystectomy biliary strictures involves a multidisciplinary approach. Our review aims to describe the present strategy in management of post cholecystectomy biliary strictures.

Bile Duct Injury- A Health and Financial Disaster

2020 ◽  
Vol 23 (1) ◽  
pp. 33-36
Author(s):  
Tapan Kumar Saha ◽  
Tuhin Talukder ◽  
Md Rajibul Hoque
Keyword(s):  
Quality Of Life ◽  
Portal Hypertension ◽  
Bile Duct ◽  
Bile Duct Injury ◽  
Biliary Stricture ◽  
Young Person ◽  
Biliary Cirrhosis ◽  
Benign Biliary Stricture ◽  
Secondary Biliary Cirrhosis

Bile Duct Injury (BDI) is an unfortunate complication of cholecystectomy, if not treated properly may result in the death of the patient due to biliary peritonitis and sepsis or may convert an otherwise healthy young person with a biliary cripple with benign biliary stricture (BBS), cholangitis, secondary biliary cirrhosis, portal hypertension & liver failure. A BDI, even after repair, adversely affects the quality of life and can be a financial disaster for the patient and a legal one for the surgeon. As BDI is associated with health & financial disaster, more attention needs to be paid both to prevent and to recognize early such injury. After recognition the patient should be referred to a surgeon experienced in the management of such injuries to avoid further complications. Journal of Surgical Sciences (2019) Vol. 23 (1) : 33-36

scholarly journals A Novel End-to-End Biliary-to-Biliary Anastomosis Technique for Iatrogenic Bile Duct Injury of Strasberg-Bismuth E1-4 Treatment: A Retrospective Study and in vivo Assessment

2021 ◽  
Vol 8 ◽  
Author(s):  
Dong Ma ◽  
Pengpeng Liu ◽  
Jianwei Lan ◽  
Baiyang Chen ◽  
Yang Gu ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Bile Duct ◽  
Bile Duct Injury ◽  
Biliary Stricture ◽  
Control Group ◽  
Benign Biliary Stricture ◽  
Reconstruction Procedure ◽  
End To End ◽  
Biliary Anastomosis ◽  
Iatrogenic Bile Duct Injury

Background: An iatrogenic bile duct injury (IBDI) is a severe complication that has a great impact on the physical and mental quality of life of the patients, especially for patients with postoperative benign biliary stricture. The effective measures for end-to-end biliary-to-biliary anastomosis intraoperative are essential to prevent the postoperative bile duct stricture, but also a challenge even to the most skilled biliary tract surgeon.Objective: A postoperative benign biliary stricture is an extremely intractable complication that occurs following IBDI. This study aimed to introduce a novel end-to-end biliary-to-biliary anastomosis technique named fish-mouth-shaped (FMS) end-to-end biliary-to-biliary reconstruction and determine the safety and effectiveness for preventing the postoperative benign biliary stricture in both rats and humans.Methods: In this study, 18 patients with biliary injury who underwent an FMS reconstruction procedure were retrospectively analyzed. Their general information, disease of the first hospitalization, operation method, and classification of bile duct injury (BDI) were collected. The postoperative complications were evaluated immediately perioperatively and the long-term complications were followed up at the later period of at least 5 years. An IBDI animal model using 18 male rats was developed for animal-based evaluations. A bile duct diathermy injury model was used to mimic BDI. The FMS group underwent an FMS reconstruction procedure while the control group underwent common end-to-end biliary-to-biliary anastomosis, a sham operation group was also established. The blood samples, liver, spleen, and common bile duct tissues were harvested for further assessments.Results: In the retrospective study, there was no postoperative mortality and no patient developed cholangitis during the 5-years postoperation follow-up. In the study of IBDI animal models, compared with the control group, the FMS reconstruction procedure reduced the occurrence of benign biliary stenosis, liver function damage, and jaundice. The blood tests as well as morphological and pathological observations revealed that rats in the FMS reconstruction group had a better recovery than those in the control group.Conclusions: An FMS reconstruction procedure is a safe and efficient BDI treatment method.

scholarly journals Biliobronchial fistula secondary to percutaneous dilatation of the benign biliary stricture

2012 ◽  
Vol 140 (11-12) ◽  
pp. 772-776
Author(s):  
Radoje Colovic ◽  
Nikica Grubor ◽  
Marko Kaitovic ◽  
Stojan Latincic ◽  
Natasa Colovic
Keyword(s):  
Bile Duct ◽  
Biliary Stricture ◽  
Surgical Reconstruction ◽  
Benign Biliary Stricture ◽  
Benign Stricture ◽  
Intrahepatic Bile Ducts ◽  
Percutaneous Dilatation ◽  
Grade Ii ◽  
Benign Bile Duct Stricture ◽  
Duct Stricture

Introduction. Biliobronchial fistula is rare. Very rarely it may be congenital, more frequently it is acquired as a complication of the hydatide cyst of the liver, pyogenic abscess, serious trauma and resection of the liver as well as recurrent cholangitis due to benign bile duct stricture or cholangiolithiasis. The main causes of the biliobronchial fistula are billiary obstruction and infectious lesion (abscess) in the liver. Case Outline. We present a 56-year-old man with benign stricture of the hepaticojejunostomy performed after operative common bile duct injury, who developed biliobronchial fistula following repeated percutaneous drainage of the liver abscess and percutaneous dilatation of the strictured anastomosis. Over the years the patient developed atrophy/hypertrophy complex, portal hypertension, grade II esophageal varicosities, ascites and splenomegaly. Although biliobronchial fistula was solved by a successful surgical reconstruction (new wide hepaticojejunostomy), the operation had a limited value as it was performed late after permanent lesions of the liver and intrahepatic bile ducts had already developed. Conclusion. Surgical reconstruction of strictured biliodigestive anastomosis should be considered on time as a possibly better solution than percutaneous dilatation. According to the authors? knowledge, a similar case of biliobronchial fistula as a complication of percutaneous dilatation of the benign biliary stricture has not been reported before in the literature.

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