Postoperative management of noniatrogenic traumatic bile duct injuries: role of endoscopic retrograde cholangiopancreaticography. Surg Endosc 2006 Jun;20(6):974-7
Date
06/02/2006Pubmed ID
16738995DOI
10.1007/s00464-005-0472-3Scopus ID
2-s2.0-33744756741 (requires institutional sign-in at Scopus site) 21 CitationsAbstract
BACKGROUND: Endoscopic therapy for iatrogenic bile duct injuries is well established. Abdominal trauma-related biliary injuries, however, are complex in nature. The role of endoscopic therapy for these patients needs further evaluation.
METHODS: A retrospective study investigated nine patients who had surgery for abdominal trauma (4 gunshot, 4 crush, and 1 stab injury), presented postoperatively with noniatrogenic biliary injuries, and underwent endoscopic retrograde cholangiopancreaticography (ERCP).
RESULTS: The ERCP was successful for all the patients. Eight patients had significant bile leak at intra- or extra-hepatic sites, and one patient was discovered to have complete cutoff of the common hepatic duct. All bile leaks were treated successfully using biliary sphincterotomy with or without transpapillary stenting. No complications of ERCP were observed.
CONCLUSIONS: In this case series, ERCP was found to be useful as a diagnostic and therapeutic method for managing noniatrogenic traumatic biliary injuries in patients who had undergone previous surgery for abdominal trauma. The ERCP results were similar to those for iatrogenic bile duct injuries.
Author List
Bajaj JS, Spinelli KS, Dua KSAuthor
Kulwinder S. Dua MD Professor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Abdominal InjuriesAdolescent
Adult
Aged
Bile Ducts
Cholangiography
Cholangiopancreatography, Endoscopic Retrograde
Endoscopy, Digestive System
Female
Humans
Male
Middle Aged
Postoperative Complications
Retrospective Studies
Wounds and Injuries
