The Causes and Endoscopic Management of Bile Leak / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
;
: 346-352, 2006.
Article
in Korean
| WPRIM
| ID: wpr-49377
ABSTRACT
BACKGROUND/AIMS:
This study evaluated the efficacy of endoscopic treatment in a bile leak that occurred through various causes.METHODS:
The medical records of 35 patients (mean age 55.4 years; male/female 25/10), who were diagnosed with a bile leak by endoscopic retrograde cholangiopancreatography in Yeungnam University Hospital from January 1998 to January 2006, were reviewed.RESULTS:
The most common cause of the bile leak was an open cholecystectomy (n=13, 37.1%) followed by a laparoscopic cholecystectomy (n=10, 28.6%), trauma (n=2, 5.7%), transarterial chemoembolization (n=3, 8.6%), spontaneous (n=3, 8.6%), and a hepatic resection (n=4, 11.4%). Thirty-four patients were treated endoscopically by the insertion of a plastic stent with/without a sphincterotomy (70.6%, 24/34), a nasobiliary drainage (11.8%, 4/34), or a sphincterotomy alone (17.6%, 6/34). Of these 34 patients, 30 were cured by the endoscopic treatment, 2 patients died from liver failure despite the use of nasobiliary drainage and 2 patients did not improve after endoscopic treatment. One patient underwent surgery without endoscopic treatment because of a transsection of the common bile duct. With the exception of the two who died from liver failure, the overall cure rate of endoscopic treatment was 90.9% (30/33). There were no complications associated with the endoscopic treatment.CONCLUSIONS:
Endoscopic treatment for a bile leak is safe and effective regardless of the cause.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Plastics
/
Bile
/
Cholecystectomy
/
Stents
/
Drainage
/
Medical Records
/
Cholangiopancreatography, Endoscopic Retrograde
/
Liver Failure
/
Cholecystectomy, Laparoscopic
/
Common Bile Duct
Type of study:
Etiology study
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Gastrointestinal Endoscopy
Year:
2006
Type:
Article
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