ArticleHPB : the official journal of the International Hepato Pancreato Biliary Association2011
Endoscopic management of post-cholecystectomy biliary fistula.
Article in HPB : the official journal of the International Hepato Pancreato Biliary Association, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 17 citations in OpenAlex.
- Endoscopic management of bile duct leaks: Current strategies and controversies.World journal of gastrointestinal endoscopy · 2025Review
- Endoscopic management of postcholecystectomy complications at a Nigerian tertiary health facility.BMC gastroenterology · 2024Article
- Is there a place for endoscopic management in post-cholecystectomy iatrogenic bile duct injuries?World journal of gastrointestinal surgery · 2024Article
- Post-cholecystectomy iatrogenic bile duct injuries: Emerging role for endoscopic management.World journal of gastrointestinal surgery · 2023Review
- [Endoscopic management of complications in the hepatobiliary and pancreatic system and the tracheobronchial tree].Chirurgie (Heidelberg, Germany) · 2023Article
- Clinical presentation, management and outcomes of bile duct injuries after laparoscopic cholecystectomy: a 15-year single-center experience in Vietnam.Frontiers in surgery · 2023Article
- Early cross-sectional imaging following open and laparoscopic cholecystectomy: a primer for radiologists.Insights into imaging · 2018Review
- Supramolecular Metallo-Bioadhesive for Minimally Invasive Use.Advanced materials (Deerfield Beach, Fla.) · 2016Article
- Management of post-cholecystectomy biliary fistula according to type of cholecystectomy.Endoscopy international open · 2015Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveBile duct injury is an uncommon but potentially serious complication in cholecystectomy. A recognized treatment for minor biliary injury is internal biliary decompression by endoscopic retrograde cholangiopancreatography (ERCP) and stent insertion. The aim of this study was to assess the effectiveness of ERCP in the management of minor biliary injuries.
methodsA retrospective review of medical records at a tertiary referral centre identified 36 patients treated for postoperative minor biliary injuries between 2006 and 2010. Management involved establishing a controlled biliary fistula followed by ERCP to confirm the nature of the injury and decompress the bile duct with stent insertion.
resultsControlled biliary fistulae were established in all 36 patients. Resolution of the bile leak was achieved prior to ERCP in seven patients, and ERCP with stent insertion was successful in 27 of the remaining 29 patients. Resolution of the bile leak was achieved in all patients without further intervention. The median time to resolution after successful ERCP was 4 days. Two patients underwent ERCP complicated by mild pancreatitis. No other complications were seen.
conclusionsThis review confirms that postoperative minor biliary injuries can be managed by sepsis control and semi-urgent endoscopic biliary decompression.
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