scholarly journals The role of endoscopic retrograde cholangiopancreatography in the management of iatrogenic bile duct injury after cholecystectomy

2019 ◽  
Vol 111 ◽  
Author(s):  
Marina Garcés Albir ◽  
Rosa Martí Fernández ◽  
Guillermo Martínez Fernández ◽  
Elena Muñoz Forner ◽  
Dimitri Dorcaratto ◽  
...  
Keyword(s):  
Bile Duct ◽  
Bile Duct Injury ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Endoscopic Retrograde ◽  
Iatrogenic Bile Duct Injury

scholarly journals The Role of Endoscopic Retrograde Cholangiopancreatography in the Management of Biliary Complication Post-Laparoscopic Cholecystectomy

2021 ◽  
Vol 9 (B) ◽  
pp. 313-317
Author(s):  
Mohamed Abdzaid Akool ◽  
Samer Makki Mohamed Al-Hakkak ◽  
Alaa Abood Al-Wadees
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Stent Placement ◽  
Biliary Injury ◽  
Stone Extraction ◽  
Biliary Leak ◽  
Endoscopic Retrograde ◽  
Plastic Stent

BACKGROUND: Laparoscopic cholecystectomy considers a golden surgery for gallbladder removal nowadays, and it carries some complications like biliary injuries, which can manage successfully by endoscopic retrograde cholangiopancreatography. AIM: To estimate the role of endoscopic management of bile duct injury (BDI) following laparoscopic cholecystectomy. PATIENT AND METHODS: A prospective study conducted at Al-Sader Medical City, Najaf City, Iraq, during the period between September 2018 and December 2020, included 44 patients complicated by the biliary injury resulting in a persistent biliary leak and/or jaundice after laparoscopic cholecystectomy and evaluated by endoscopic retrograde cholangiopancreatography (ERCP). RESULTS: Findings revealed that 25% of cases had complete BDI, only one managed by plastic stent placement, the other 10 referred for open surgical constructions, 61% had partial injury associated with the biliary leak, all managed by sphincterotomy and plastic stent placement through ERCP, almost 7% had a partial clipping of bile duct all managed with sphincterotomy, balloon dilatation/stone extraction, and plastic stent placement, 5% had slipped clips of cystic duct stump, are managed with sphincterotomy and plastic stent placement. Moreover, only one patient, 2%, had distal common bile duct stone with bile leak, managed by sphincterotomy and stone extraction. CONCLUSIONS: Laparoscopic cholecystectomy, a gold standard therapeutic option for symptomatic cholecystolithiasis, is associated with an increased risk of biliary injury due to many factors. ERCP is a safe means of diagnosing the cause of bile leakage after laparoscopic cholecystectomy. It also offers definitive treatment in most cases by endoscopic sphincterotomy and plastic stent placement.

scholarly journals Lesión quirúrgica de la vía biliar:experiencia en el Hospital José Ramón Vidal de Corrientes

2020 ◽  
Vol 112 (4) ◽  
pp. 480-489
Author(s):  
José R. Segovia ◽  
◽  
Fernando Barrios Escubilla ◽  
Matías Ruiz
Keyword(s):  
Bile Duct ◽  
Bile Duct Injury ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Health Problem ◽  
Stent Placement ◽  
Medical Records ◽  
Descriptive Study ◽  
Endoscopic Retrograde ◽  
T Tube ◽  
Bile Duct Injuries

Background: Bile duct injury represents a serious health problem and can occur after any cholecystectomy. Objectives: The aim of this study was to report our experience in repairing bile duct injuries analyzing morbidity, mortality and its incidence in our department. Material and Methods: We conducted a retrospective and descriptive study. The information was retrieved form the medical records of 19 patients with bile duct injury hospitalized at the Hospital José Ramón Vidal, Corrientes, Argentina, between January 2011 and July 2019. Results: A Roux-en-Y hepaticojejunostomy was performed in 12 patients, double hepaticojejunostomy in two patients, and two patients were treated with end-to-end ductal anastomosis with suture over a T tube. Three patients underwent endoscopic retrograde cholangiopancreatography with stent placement and dilation. Conclusion: Surgeons should be trained to avoid the possibility of bile duct injury. The main goal of cholecystectomy should be to avoid this complication

scholarly journals Endoscopic Retrograde Cholangiopancreatography at Dhulikhel hospital: Outcome Analysis

2015 ◽  
Vol 12 (1) ◽  
pp. 55-59 ◽  
Author(s):  
RB Gurung ◽  
B Purbey ◽  
R Koju ◽  
TRS Bedi
Keyword(s):  
Chronic Pancreatitis ◽  
Bile Duct ◽  
Bile Duct Injury ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Tertiary Care ◽  
Acute Cholangitis ◽  
Pancreatic Head ◽  
Common Finding ◽  
Outcome Analysis ◽  
Endoscopic Retrograde

Background Endoscopic Retrograde Cholangiopancreatography (ERCP) is an important but potentially invasive therapeutic procedure in treating various pancreatobiliary conditions. In Nepal, the ERCP services is limited to a few tertiary care centers mostly in the capital, Kathmandu. Dhulikhel hospital has started ERCP since 2011 providing services to patients from all over the country. The study analyzes the outcome from data since August 2011 to 2013 August.Objective To analyze the results of ERCP done in Dhulikhel hospital, Kathmandu University hospital.Method This is a retrospective study. The ERCP records of all the patients done since August 2011 to August 2013 were retrieved. A total of 516 attempts of ERCP were done since August 2011 to August 2013. Out of these, 423 were included for the analysis. The repeat ERCP for the same patient due to failed cannulation or patients undergone ERCP but incomplete documentation were excluded. The demographic data, indications, the findings, the outcome in terms of success or failure to cannulation, success or failure of stone extraction, stenting and complications were all derived and analyzed. SPSS 16 version was employed for data management and analysis.Result The female: male ratio was found to be 1.7 : 1. The mean age of patients were 50.57±17.8 Years. The most common indication for ERCP were: choledocholithiasis 208(49.17%); followed by: obstructive jaundice 69(16.3% ) of undetermined cause, acute biliary pancreatitis 26(6.4%), suspected bile duct injury during cholecystectomy 18(4.2%), periampullary growth 21( 4.96%), Cholangiocarcinoma 12(2.8%), chronic pancreatitis 10( 2.3%), CBD stent exchange 23(5.43%), dilated cbd 21(4.96%) , acute cholangitis 14(3.3%).The most common finding was CBD stone in 308(72.81%), normal in 51(12.1% ), bile duct stricture in 45(10.63%). Bile duct injury during cholecystectomy was found in 13(3.1%), biliary obstruction due to ampullary growth and pancreatic head mass was found in 21(4.96%) and 6(1.41%) respectively. Choledochal cyst was found in 5(1.2%), chronic pancreatitis in 7(1.7%). Biliary fascioliasis was found in one (0.24%); and roundworm in 1(0.24).The most common complication was acute pancreatitis in 17(4%), post-ERCP cholangitis 6(1.4%), bleeding 6(1.4%), duodenal perforation in 1(0.2%), arrhythmia in 1(0.2%) and one death (0.2%).Conclusion ERCP has been a potentially emerging therapeutic tool for various pancreato-biliary disorders in Nepal.Kathmandu University Medical Journal Vol.12(1) 2014: 55-59

scholarly journals Primary closure of the common bile duct in the treatment of choledocholithiasis

2010 ◽  
Vol 63 (1-2) ◽  
pp. 99-103
Author(s):  
Dejan Ivanov ◽  
Pavle Milosevic
Keyword(s):  
Surgical Treatment ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Primary Closure ◽  
Endoscopic Retrograde ◽  
Routine Treatment ◽  
The Common

Surgical institutions equipped to apply endoscopic retrograde cholangiopancreatography with papillotomy do not treat non-complicated choledocholithiasis in a surgical way any more. However, those institutions which have not yet started to perform cholangiopancreatography apply surgical treatment of choledocholithiasis, and therefore, choledochography is still an option to end the exploration of choledochus with or without the concrement removal. Since cholangiopancreatography has not become a routine treatment in our institution, we have tried to determine the role of the primary closure of the choledochus in the treatment of choledocholithiasis as well as the indications and contraindications for its application.

scholarly journals Bile duct injury after laparoscopic cholecystectomy: the value of endoscopic retrograde cholangiopancreatography.

Gut ◽  
1993 ◽  
Vol 34 (9) ◽  
pp. 1250-1254 ◽  
Author(s):  
P H Davids ◽  
J Ringers ◽  
E A Rauws ◽  
L T de Wit ◽  
K Huibregtse ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Bile Duct Injury ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Endoscopic Retrograde
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