Online citations, reference lists, and bibliographies.

Multidisciplinary Approaches For Management Of Postcholecystectomy Problems (Surgery, Endoscopy, And Percutaneous Approaches)

Alaa A. Redwan
Published 2009 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
Share
Purpose A prospective study to evaluate the postcholecystectomy problem management. Patients and Methods From March 2005 to April 2007, 210 patients were managed using surgery, endoscopy, and percutaneous approaches. Results Endoscopy was therapeutic in 183 cases [stones (81), stricture (55), leakage (35)], and only diagnostic in 24 cases. Percutaneous approaches were carried out in 34 cases as diagnostic in 19 cases, stenting in 2 cases, and combined with endoscopy in 13 cases. Surgery was carried out in 40 cases either urgent in 10 cases (4.8%), or planned in 30 cases (14.3%), for peritoneal lavage in 7 cases, choledocholithotomy in 8 cases, undo ligation and T-tube drainage in 5 cases, common bile duct repair splinted by T tube in 3 cases, choledochoduodenostomy in 1 case, and Roux-en-Y choledochojejunostomy in 18 cases. Conclusions Endoscopy is effective and safe not only for diagnostic but also for therapeutic approaches, especially when combined with percutaneous approaches that help in failure cases, but surgery remains as the gold standard treatment not only for the cases, which failed to be treated by less invasive approaches, but also in cases that are mandatory to be explored as peritonitis.
This paper references
Successful treatment of non healing biliary-cutaneous fistula with biliary stents
A C Smith (1986)
10.1001/archsurg.1980.01380070075017
Endoscopic papillotomy.
H. E. Houston (1980)
Bile duct injury: management options during and after gall bladder surgery
R Vecchio (1998)
Retained common bile duct stones after endoscopic sphincterotomy: temporary and long-term treatment with biliary stenting.
J. Deguide (1996)
10.1111/bjs.1998.85.s2.76
Biliary Tract
M. Goldberg (1990)
10.1016/0016-5085(86)91136-4
Successful treatment of nonhealing biliary-cutaneous fistulas with biliary stents.
A. C. Smith (1986)
10.1016/S0016-5107(04)00893-4
ERCP with Sphincter of Oddi Manometry (SOM) at an Ambulatory Endoscopy Center (AEC): An Assessment of Complications
Erik Springer (2004)
10.1016/S0140-6736(89)92696-2
URGENT ENDOSCOPIC DRAINAGE FOR ACUTE SUPPURATIVE CHOLANGITIS
J. C. Leung (1989)
Successful treatment of post-cholecystectomy bile leaks using nasobiliary tube drainage and sphincterotomy.
S. Chow (1997)
10.1055/s-2007-1005483
Endoscopic biliopancreatic balloon dilation.
G. Tytgat (1996)
10.1136/gut.32.12.1562
Wire guided balloon assisted endoscopic biliary stent exchange.
D. Martin (1991)
10.1007/S005340050151
Bile duct injuries during laparoscopic cholecystectomy: a decade of experience.
D. Olsen (2000)
Significant of postcholecystectomy sub hepatic fluid collections
CM Elboim (1993)
Bile duct injury: prevention and management
Pleass HCC (1998)
10.1097/00000658-195301000-00025
AN APPARATUS TO MEASURE ELASTICITY OF BLOOD VESSELS
Samuel B. Feitelberg (1953)
10.1016/s0039-6109(16)46389-9
Endoscopic techniques in management of biliary tract injuries.
R. Kozarek (1994)
10.1016/S0016-5107(00)70385-3
Endoscopic biliary stenting for treatment of persistent biliary fistula after blunt hepatic injury.
M. Sugiyama (2000)
10.1055/s-2004-826146
Therapeutic biliary endoscopy.
S. Sherman (1994)
Endoscopic treatment of laparoscopic bile duct injuries.
Siegel Jh (1994)
10.1007/S001040051033
[Classification and treatment of bile duct injuries after laparoscopic cholecystectomy].
P. Neuhaus (2000)
Post cholecystectomy biliary leaks in laparoscopic era: risk factors, presentations, and management
AN Barkun (1997)
Classification and treatment of bile duct injuries during laparoscopic cholecystectomy (abstract)
P Neuhaus (2000)
10.1007/s004649900262
Of stones and bile ducts, single- vs two-stage management
A. Cuschieri (1996)
10.1016/S0016-5107(97)80421-X
Long term follow-up of endoscopic stenting (ES) for benign postoperative bile duct strictures (BPBDS)
A. Vall (1997)
10.1016/S0016-5107(97)70270-0
Postcholecystectomy biliary leaks in the laparoscopic era: risk factors, presentation, and management. McGill Gallstone Treatment Group.
A. Barkun (1997)
Endoscopic sphincterotomy by catheterization antegrade
W B Long (1984)
10.1097/00000658-199303000-00004
Benign Biliary Strictures Surgery or Endoscopy?
P. Davids (1993)
Endoscopic management of benign stricture of the biliary tree. Endoscopy
MT Smith (1995)
10.1016/S0002-9610(05)80784-6
Diagnosis and management of biliary complications of laparoscopic cholecystectomy.
N. Soper (1993)
10.1177/155335069800500209
Bile Duct Injury: Management Options During and After Gallbladder Surgery
R. Vecchio (1998)
Retained common bile duct stones after endoscopic sphincterotomy: temporary and long-term treatment with biliary stenting.
DeGuide Jj (1996)
10.1016/S0039-6109(16)46382-6
Complications of cholecystectomy. Incidence, clinical manifestations, and diagnosis.
D. Deziel (1994)
10.1016/s0039-6109(16)46380-2
Bile duct injuries. Spectrum, mechanisms of injury, and their prevention.
R. Martín (1994)
10.1016/S0002-9610(05)80783-4
Spectrum and management of major complications of laparoscopic cholecystectomy.
A. Ress (1993)
A review of the management of post-cholecystectomy biliary leaks during the laparoscopic era.
S. Mehta (1997)
TSAO: Biliary reconstruction
RL Rossi (1994)
10.1097/00000658-199321850-00005
The Hepp-Couinaud approach to strictures of the bile ducts. I. Injuries, choledochal cysts, and pancreatitis.
J. Myburgh (1993)
10.1002/bjs.1800801232
Bile duct injury and bile leakage in laparoscopic cholecystectomy
S. Huang (1993)
10.1016/S0016-5107(89)72896-0
Endoscopic treatment of biliary tract fistulas.
T. Ponchon (1989)
10.1016/S0016-5107(04)00896-X
Failed Biliary ERCP: A Prospective Multicenter Study of Risk Factors, Complications, and Resource Utilization
D. Perdue (2004)
Postsurgical bile leaks: endoscopic obliteration of the transpapillary pressure gradient is enough.
D. Bjorkman (1995)
10.1007/S001040051034
[Timely management of bile duct complications after laparoscopic cholecystectomy].
T. Mussack (2000)
Endoscopic treatment of laparoscopic bile duct injuries.
J. Siegel (1994)
10.1007/BF01655124
Management of bile duct injuries and strictures following cholecystectomy
M. Raute (2005)
10.1055/s-2001-11186
Therapeutic biliary endoscopy.
C. P. Choudari (1999)
10.1055/S-2007-1001441
The future of endoscopic retrograde cholangiopancreatography: what is necessary and what should be improved?
H. Neuhaus (1998)
10.1055/s-2007-1004213
What role can endoscopy play in the management of biliary complications after laparoscopic cholecystectomy?
F. Prat (1997)
10.1016/0016-5085(95)26017-X
Endoscopic treatment of post-operative biliary leak without sphincterotomy
I. Lorenzini (1995)
[Complications of cholecystectomy].
A. M. Rego (1955)
Successful treatment of non healing biliarycutaneous fistula with biliary stents
AC Smith (1986)
10.1093/oxfordjournals.bmb.a072135
Biliary tract and pancreas.
D. Carr-Locke (1986)
10.1046/J.1365-2168.1998.00662.X
Multidisciplinary approach to biliary complications of laparoscopic cholecystectomy
N. Doctor (1998)
10.1159/000401180
The biliary system.
R. Kane (1988)
Endoscopic sphincterotomy by catheterization antegrade, Gastrointest Endosc
WB Long (1984)
EAES ductal stone study. Preliminary findings of multi-center prospective randomized trial comparing two-stage vs single-stage management.
A. Cuschieri (1996)
10.1007/s001040051033
Einteilung und Behandlung von Gallengangverletzungen nach laparoskopischer Cholecystektomie
P. Neuhaus (2000)
10.1007/s004649900264
EAES ductal stone study
A. Cuschieri (1996)
Issues in cholecystectomy and management of duct stones.
P. Cotton (1994)
Endoscopic surgery: biliary tract and pancreas
DL Carr-locke (1986)
The Hepp-Couinaud approache to stricture of the bile ducts
JA Myburgh (1993)
10.1055/s-2007-1005681
Endoscopic management of benign strictures of the biliary tree.
M. Smith (1995)
10.1016/S0039-6109(05)70457-6
Endoscopic approaches to common bile duct injuries.
J. Ponsky (1996)
10.1055/S-2003-39664
Long-term results of balloon catheter dilation for benign gastric outlet stenosis.
J. Solt (2003)
10.1136/gut.38.1.141
Treatment of bile duct lesions after laparoscopic cholecystectomy.
J. Bergman (1996)
Letter: Histocompatibility determinants in multiple sclerosis.
L. Degos (1974)
Endoscopic bilio-pancreatic balloon dilatation
GNJ Tytgal (1996)
Successful treatment of non healing biliary-cutaneous fistula with biliary stents. Gastroenterology. 1986;90:764–769
AC Smith (2009)
Non operative versus operative treatment of obstructive jaundice in pancreatic cancer: cost and survival analysis
JJ Brandabur (1988)
10.1007/s001040051034
Zeitgerechtes Management von Gallengangkomplikationen nach laparoskopischer Cholecystektomie
T. Mussack (2000)



This paper is referenced by
Semantic Scholar Logo Some data provided by SemanticScholar