Endoscopic Techniques in Management of Biliary Tract Injuries  

Oleh:

Kozarek, Richard A.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The Surgical Clinics of North America (Keterangan: ada di ClinicalKey) vol. 74 no. 4 (Agu. 1994), page 883.

Isi artikel

The endoscopic approach to biliary tract injury is predicated on both the timing of discovery and the extent of injury. As such, endoscopic retrograde cholangiopancreatography may only provide an anatomic outline in patients with complete duct transection, in patients with inadvertent clipping of the right hepatic duct, or in patients with long ischemic strictures caused by thermal or staple injuries. Endoscopic retrograde cholangiopancreatography, often in conjunction with percutaneous biloma drainage, is the procedure of choice in patients with postoperative bile leakage, and the type of endotherapy undertaken is contingent on both the site of leakage and presence or absence of concomitant ductal obstruction. Periodic balloon dilation and endoprosthesis exchange now have been shown clearly to be an effective therapy for a subset of patients with iatrogenic biliary stenoses. This is a still-evolving concept, and long-term patient follow-up care is advised.

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