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ISSN 1727-897X (Electronic)

2019, Number 3

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Medisur 2019; 17 (3)

Endoscopic treatment of bile leak after post-cholecystectomy. Presentation of two cases

Sánchez GNL, Pérez TF, Periles GU, Hernández CY, Elvirez GÁ

Language: Spanish
References: 10
Page: 437-442
PDF size: 196.27 Kb.


ABSTRACT

Biliary lesions or leaks that occur after an open or laparoscopic cholecystectomy are rare, with an incidence of 0.1-1%. The clinical presentation of postoperative bile leak is characterized by pain in the upper right quadrant, nausea, vomiting, anorexia and fever. Two patients, 54 and 58 years of age, respectively are presented. After having undergone surgery, they had clinical and imaging manifestations of biliary leakage. Both were treated by endoscopic retrograde cholangiopancreatography with biliary sphincterotomy and prosthesis placement. The evolution was satisfactory. The objective of the work is to expose the result of endoscopic treatment in the biliary leak post- cholecystectomy.


REFERENCES

  1. Sayar S, Olmez S, Avcioglu U, Tenlik I, Saritas B, Ozdil K, et al. A retrospective analysis of endoscopic treatment outcomes in patients with postoperative bile leakage. North Clin Istanb. 2016 ; 3 (2): 104-10.

  2. Kaffes AJ, Hourigan L, De Luca N, Byth K, Williams SJ, Bourke MJ. Impact of endoscopic intervention in 100 patients with suspected postcholecystectomy bile leak. Gastrointest Endosc. 2005 ; 61 (2): 269-75.

  3. Spinn MP, Patel MK, Cotton BA, Lukensa FJ. Successful Endoscopic Therapy of Traumatic Bile Leaks. Case Rep. Gastroenterol. 2013 ; 7 (1): 56-62.

  4. Kim KH, Kim TN. Endoscopic Management of Bile Leakage after Cholecystectomy: A Single-Center Experience for 12 Years. Clin Endosc. 2014 ; 47 (3): 248-53.

  5. Nikpour AM, Knebel RJ, Cheng D. Diagnosis and Management of Postoperative Biliary Leaks. Semin Intervent Radiol. 2016 ; 33 (4): 307-12.

  6. Altamirano ML, Blancas JM, Flores I, Paz VM, Blanco G, Hernández OV. Resultados del tratamiento endoscópico en fugas biliares. Experiencia del Centro Médico Nacional Siglo XXI IMSS. Endoscopia. 2016 ; 28 (2): 55-60.

  7. Fong ZV, Pitt HA, Strasberg SM, Loehrer AP, Sicklick JK, Talamini MA, et al. Diminished Survival in Patients with Bile Leak and Ductal Injury: Management Strategy and Outcomes. J Am Coll Surg. 2018 ; 226 (4): 568-76.

  8. Doumenc B, Boutros M, Dégremont R, Bouras AF. Biliary leakage from gallbladder bed after cholecystectomy: Luschka duct or hepaticocholecystic duct?. Morphologie. 2016 [ cited 2 Nov 2018 ] ; 100 (328): 36-40.

  9. Lo Nigro C, Geraci G, Sciuto A, Li Volsi F, Sciume C, Modica G. Bile leaks after videolaparoscopic cholecystectomy: duct of Luschka. Endoscopic treatment in a single centre and brief literature review on current management. Ann Ital Chir. 2012 ; 83 (4): 303-12.

  10. Lalezari D, Singh I, Reicher S, Eysselein VE. Evaluation of fully covered self-expanding metal stents in benign biliary strictures and bile leaks. World J Gastrointest Endosc. 2013 ; 5 (7): 332-39.




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