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Artykuły w czasopismach na temat „Bile leak”

Autor: Grafiati

Data publikacji: 2 czerwca 2025

Data aktualizacji: 31 lipca 2025

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1

Nagar, Anand, Peeyush Varshney, Shashwat Sarin, Ajay Sharma, RP Choubey, and VK Kapoor. "Bile Leak after Pancreaticoduodenectomy - Our Experience." International Journal of Science and Research (IJSR) 10, no. 8 (2021): 1144–47. https://doi.org/10.21275/sr21826164814.

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Obata, Taisuke, Kazuyuki Matsumoto, Kei Harada, et al. "Endoscopic Bridging Stent Placement Improves Bile Leaks After Hepatic Surgery." Journal of Clinical Medicine 14, no. 10 (2025): 3381. https://doi.org/10.3390/jcm14103381.

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Background: Endoscopic treatment is one of the first-line treatments for bile leaks after hepatic surgery. However, detailed reports of endoscopic treatment for bile leaks after hepatic resection (HR) or liver transplantation (LT) are scarce. The outcomes of endoscopic treatment for bile leaks after hepatic surgery were examined, and factors related to successful treatment were identified. Methods: A total of 122 patients underwent endoscopic treatment for bile leaks after hepatic surgery. The diagnosis of a bile leak is based on the ISGLS criteria. The decision to perform endoscopic retrograd

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3

Dominguez, Edward P., Dave Giammar, John Baumert, and Oscar Ruiz. "A Prospective Study of Bile Leaks after Laparoscopic Cholecystectomy for Acute Cholecystitis." American Surgeon 72, no. 3 (2006): 265–68. http://dx.doi.org/10.1177/000313480607200313.

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Surgeons are increasingly performing laparoscopic cholecystectomy in the setting of acute cholecystitis. The acutely inflamed gallbladder poses a more technically demanding dissection with potential for an increase in bile leak rates. Clinical and subclinical bile leak rates after laparoscopic and open cholecystectomy in the elective setting are known. This study prospectively evaluates the rate of clinical and subclinical bile leaks after laparoscopic cholecystectomy in the setting of acute cholecystitis. One hundred patients underwent laparoscopic cholecystectomy for acute cholecystitis, as

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4

Xiao, Y., M. Salim, Z. Meng, et al. "A205 IS REPEAT ERCP REQUIRED AFTER INITIAL ENDOSCOPIC MANAGEMENT OF POST-SURGICAL BILE LEAKS? MULTI-CENTER VALIDATION OF THE CALGARY BILE LEAK RULE." Journal of the Canadian Association of Gastroenterology 5, Supplement_1 (2022): 91–92. http://dx.doi.org/10.1093/jcag/gwab049.204.

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Abstract Background The Calgary Bile Leak Rule was developed to identify patients in whom biliary stent removal via gastroscopy could be safely performed in lieu of ERCP for post-surgical bile leaks. Aims This study aimed to evaluate a Modified Calgary Bile Leak Rule (MCBLR) for a cohort of patients who underwent laparoscopic cholecystectomy complicated by bile leak. Methods This retrospective cohort study included patients who underwent ERCP for management of laparoscopic cholecystectomy-induced bile leaks between 2005 and 2017. The primary outcome was defined as the absence of persisting bil

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5

Jain, Vishal, Nathan Yeasted, and Nakechand Pooran. "Necessity of a Repeat Cholangiogram During Biliary Stent Removal after Postcholecystectomy Bile Leak." Canadian Journal of Gastroenterology 26, no. 10 (2012): 701–4. http://dx.doi.org/10.1155/2012/487419.

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PURPOSE: To assess the need for repeat endoscopic retrograde cholangiography (ERC) in patients undergoing biliary stent removal after management of postcholecystectomy bile leak.METHODS: A retrospective analysis of the Clinical Outcomes Research Initiative endoscopy database at PennState Milton S Hershey Medical Center (Hershey, Pennsylvania, USA) identified all patients referred for ERC with an indication of postcholecystectomy bile leak from January 2001 to June 2010. Baseline demographics, location of bile leak, size of biliary stent placed, duration of stenting, bile leak persistence, and

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6

Aljahdali, Akram, and James Murphy. "Bile Duct Injury in Children: Is There a Role for Early Endoscopic Retrograde Cholangiopancreatography?" Surgery Journal 04, no. 03 (2018): e119-e122. http://dx.doi.org/10.1055/s-0038-1665550.

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Introduction Liver injury is common among pediatric abdominal trauma. Nonoperative management is the standard of care in isolated stable liver injuries. Bile leak is not an uncommon complication in moderate- and high-grade injuries. Case series Three pediatric patients (age: 10–15 years) suffered grade IV liver injuries secondary to blunt abdominal trauma. All developed significant bile leak treated nonoperatively with endoscopic retrograde cholangiopancreatography (ERCP), and patients 1 and 2 were treated with bile duct stent alone. Patient 3 required laparotomy for bile peritonitis and abdom

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7

Mahmood, Sultan, Mohammed Muqeet Adnan, Salman Nusrat, and John Maple. "Bile Leak After Cholecystectomy." American Journal of Gastroenterology 109 (October 2014): S463—S464. http://dx.doi.org/10.14309/00000434-201410002-01569.

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8

Biswas, Abhishek. "Bile Leak: Case Series." Indian Journal of Critical Care Medicine 28, S1 (2024): S14—S16. https://doi.org/10.5005/jaypee-journals-10071-24667.7.

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9

Pawar, Vinay, Nikhil Sonthalia, Sunil Pawar, Ravindra Surude, Qais Contractor, and Pravin Rathi. "Successful Endoscopic Management of Bile Leak: A Single-Center Experience." Journal of Digestive Endoscopy 08, no. 04 (2017): 170–75. http://dx.doi.org/10.4103/jde.jde_57_17.

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ABSTRACT Background and Aims: Bile leak is a rarely encountered complication most commonly occurring in the setting of biliary tract surgery. Site of leak may be from the gallbladder bed, the cystic duct, or rarely from injury to a major bile duct. Management has evolved with from radical surgery prevalent in earlier days to recent increased expertise in biliary endoscopy. This study aims to determine the impact of endoscopic management in treating symptomatic bile leak and discusses the role of surgery. Patients and Methods: In this retrospective study, patients with symptomatic bile leak adm

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10

Chandra, Subhash, Arvind R. Murali, Maen Masadeh, William B. Silverman, and Frederick C. Johlin. "Comparison of Biliary Stent versus Biliary Sphincterotomy Alone in the Treatment of Bile Leak." Digestive Diseases 38, no. 1 (2019): 32–37. http://dx.doi.org/10.1159/000499872.

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Background and Aims: Bile leaks are uncommon but are a painful postoperative complication of hepatobiliary interventions. Many authors advocate treating them with biliary stenting. We compared the outcomes in patients treated with endoscopic biliary sphincterotomy (EBS) alone versus EBS with biliary stenting. Methods: We reviewed charts of patients treated endoscopically for bile leak from 2009 to 2015 at our tertiary care center. Based on endoscopists’ practice preference, patients underwent EBS alone or with a biliary stent. Clinical resolution of bile leak and total number of endoscopic and

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11

Mutignani, Massimiliano, Edoardo Forti, Alberto Larghi, et al. "Refractory Bergmann type A bile leak: the need to strike a balance." Endoscopy International Open 07, no. 02 (2019): E264—E267. http://dx.doi.org/10.1055/a-0732-4899.

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Abstract Background and study aims Endoscopic therapy for postoperative Bergmann type A bile leaks is based on biliary sphincterotomy ± stent insertion. However, recurrent or refractory bile leaks can occur. Patients and methods This was retrospective study including all consecutive patients who were referred to our center with a Bergmann type A bile leak refractory to previous conventional endoscopic treatments. Results Seventeen patients with post-cholecystectomy-refractory Bergmann type A bile leak were included. All had received prior endoscopic biliary sphincterotomy with biliary stent or

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12

Fang, Cheng, Sheng Yan, and Shusen Zheng. "Bile leakage after liver transplantation." Open Medicine 12, no. 1 (2017): 424–29. http://dx.doi.org/10.1515/med-2017-0062.

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AbstractObjective To evaluate the risk factors and outcome of bile leak after liver transplantation.MethodsWe undertook a retrospective study of patients who underwent liver transplantation in our institution between January 2010 and January 2014. The characteristics and survival rate of patients with or without bile leak were compared.ResultsBile leak was observed in sixteen patients after liver transplantation (2.7% of the total number of patients transplanted). Total operating time and bile duct reconstruction technique (duct-to-duct anastomosis or Rouxen-Y cholangiojejunostomy) were found

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13

Zhu, Yuli, and Ryan Hickey. "The Role of the Interventional Radiologist in Bile Leak Diagnosis and Management." Seminars in Interventional Radiology 38, no. 03 (2021): 309–20. http://dx.doi.org/10.1055/s-0041-1731369.

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AbstractBile leaks are rare but potentially devastating iatrogenic or posttraumatic complications. This is being diagnosed more frequently since the advent of laparoscopic cholecystectomy and propensity toward nonsurgical management in select trauma patients. Timely recognition and accurate characterization of a bile leak is crucial for favorable patient outcomes and involves a multimodal imaging approach. Management is driven by the type and extent of the biliary injury and requires multidisciplinary cooperation between interventional radiologists, endoscopists, and hepatobiliary/transplant s

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14

Sendino, Oriol, Alejandro Fernández-Simon, Ryan Law, et al. "Endoscopic management of bile leaks after liver transplantation: An analysis of two high-volume transplant centers." United European Gastroenterology Journal 6, no. 1 (2017): 89–96. http://dx.doi.org/10.1177/2050640617712869.

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Background Bile leak after liver transplantation (LT) is commonly treated with endoscopic retrograde cholangiopancreatography (ERCP); however, there are limited data regarding the optimal treatment strategy. Objective We aimed to examine the role of ERCP in LT recipients with bile leaks at two large institutions. Methods We reviewed all ERCPs performed in LT recipients with bile leak and duct-to-duct biliary anastomosis at two high-volume transplant centers. Results Eighty patients were included. Forty-seven (59%) patients underwent ERCP with plastic stent placement (with or without sphinctero

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15

Yachimski, Patrick, Jordan K. Orr, and Anthony Gamboa. "Endoscopic plastic stent therapy for bile leaks following total vs subtotal cholecystectomy." Endoscopy International Open 08, no. 12 (2020): E1895—E1899. http://dx.doi.org/10.1055/a-1300-1319.

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Abstract Background and study aims Plastic biliary stents are standard therapy for treatment of post-cholecystectomy bile leaks. An increasing proportion of patients now undergo subtotal cholecystectomy and are at perceived risk for high-grade bile leak. Data are limited regarding the optimal endoscopic therapy following subtotal cholecystectomy. The aim of this study was to compare outcomes of endoscopic plastic stent therapy for treatment of bile leak following total vs subtotal cholecystectomy. Patients and methods A retrospective cohort of patients with bile leak following cholecystectomy

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16

Pandit, Narendra, Tek Narayan Yadav, Laligen Awale, Kunal Bikram Deo, Yogesh Dhakal, and Shailesh Adhikary. "Current Scenario of Postcholecystectomy Bile Leak and Bile Duct Injury at a Tertiary Care Referral Centre of Nepal." Minimally Invasive Surgery 2020 (April 21, 2020): 1–6. http://dx.doi.org/10.1155/2020/4382307.

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Objective. With the adoption of safe cholecystectomy principles at an academic institute, the risk of major bile duct injury has decreased. This study aims at evaluating the present status of bile duct injury, compared to the study published in 2013 by index centre. Methods. This is a retrospective review of a prospectively maintained database of bile leak and bile duct injury from 2014 to 2019. Patients who completed postcholecystectomy bile leak or bile duct injury treatment and were on regular follow-up were included. Results. Eighteen patients (0.78%) among 2,300 consecutive cholecystectom

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17

AZURIN, DANIEL J., LESLIE S. GO, MARK MASLACK, and MATT L. KIRKLAND. "Bile Leak Following Laparoscopic Cholecystectomy." Journal of Laparoendoscopic Surgery 5, no. 4 (1995): 233–36. http://dx.doi.org/10.1089/lps.1995.5.233.

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Massoumi, Hatef, Nejat Kiyici, and Hilary Hertan. "Bile Leak After Laparoscopic Cholecystectomy." Journal of Clinical Gastroenterology 41, no. 3 (2007): 301–5. http://dx.doi.org/10.1097/mcg.0b013e31802c29f2.

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Kozarek, Richard. "Bile Leak After Laparoscopic Cholecystectomy." Archives of Internal Medicine 152, no. 5 (1992): 1040. http://dx.doi.org/10.1001/archinte.1992.00400170118022.

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Ralph-Edwards, T., and H. S. Himal. "Bile leak after laparoscopic cholecystectomy." Surgical Endoscopy 6, no. 1 (1992): 33–35. http://dx.doi.org/10.1007/bf00591185.

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21

Doppler, Michael, Christin Fürnstahl, Simone Hammer, et al. "Biliary Leak after Pediatric Liver Transplantation Treated by Percutaneous Transhepatic Biliary Drainage—A Case Series." Tomography 9, no. 5 (2023): 1965–76. http://dx.doi.org/10.3390/tomography9050153.

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Background: Biliary leaks are a severe complication after pediatric liver transplantation (pLT), and successful management is challenging. Objectives: The aim of this case series was to assess the outcome of percutaneous transhepatic biliary drainage (PTBD) in children with bile leaks following pLT. The necessity of additional percutaneous bilioma drainage and laboratory changes during therapy and follow-up was documented. Material and Methods: All children who underwent PTBD for biliary leak following pLT were included in this consecutive retrospective single-center study and analyzed regardi

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22

Rai, Vinay, Akin Beckley, Anna Fabre, and Charles F. Bellows. "Successful Treatment of Persistent Postcholecystectomy Bile Leak Using Percutaneous Cystic Duct Coiling." Case Reports in Surgery 2015 (2015): 1–3. http://dx.doi.org/10.1155/2015/273198.

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Laparoscopic cholecystectomy is one of the most commonly performed operations worldwide. Cystic duct is the most common site of bile leak after cholecystectomy. The treatment of choice is usually conservative. Using sufficient percutaneous drainage of the biloma cavity and endoscopic retrograde cholangiography (ERCP) with sphincterotomy and/or stenting, the cure rate of bile leaks is greater than 90%. In very rare cases, all of these measures remain unsuccessful. We report a technique for the successful treatment of persistent cystic duct leak. After failed ERCP and stenting, bile leak was tre

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23

Tanaka, Motofumi, Masahiro Kido, Kaori Kuramitsu, et al. "Efficacy of the bile leak test using contrast-enhanced intraoperative ultrasonic cholangiography in liver resection: a study protocol for a non-randomised, prospective, off-label, single-arm trial." BMJ Open 9, no. 6 (2019): e029330. http://dx.doi.org/10.1136/bmjopen-2019-029330.

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IntroductionBile leak is still a major complication after liver resection to be improved. To intraoperatively detect this adverse complication, leak test is commonly performed after hepatic resection. However, by the conventional leak test, it is often difficult to know whether the test reagent reaches to intrahepatic bile duct near cut surface of liver with adequate volume and pressure to identify the existence of bile leak. Thus, in order to perform leak test more accurately, this study aims to evaluate the efficacy and safety of the leak test using contrast-enhanced intraoperative ultrasoni

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24

Shakeel, Osama, Muhammad Haroon, Muhammad Imran Khan, Ahmed Siddique Ammar, Muhammad Atiq, and Faisal Hanif. "The mystery of post-cholecystectomy persistent bile leak: a case report." Journal of the Pakistan Medical Association 73, no. 3 (2023): 671–73. http://dx.doi.org/10.47391/jpma.4878.

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Laparoscopic cholecystectomy (LC) is commonly performed for benign gallbladder diseases. Biliary leak is the most common complication of bile duct injury following this surgery. We report a case of persistent bile leak following the procedure despite endoscopic and radiological management. A female patient presented to the hepatopancreatobiliary unit of the Bahria International Hospital (Orchard), Lahore, with complaint of persistent bile leakage after laparoscopic cholecystectomy performed elsewhere. She had been investigated in various hospitals but the cause of the persistent bile leak rema

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Monzur, Farah, Laila Menon, Juan Carlos Bucobo, Satish Nagula, and Jonathan Buscaglia. "Traversing the Site of Bile Leak With Stent Placement Does Not Affect Bile Leak Resolution." American Journal of Gastroenterology 110 (October 2015): S18. http://dx.doi.org/10.14309/00000434-201510001-00042.

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Wu, Gang, Wen-Ying Li, Yu-Xing Gong, Feng Lin, and Chen Sun. "Impact of open hepatectomy on postoperative bile leakage in patients with biliary tract cancer." World Journal of Gastrointestinal Surgery 16, no. 1 (2024): 67–75. http://dx.doi.org/10.4240/wjgs.v16.i1.67.

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BACKGROUND Bile leakage is a common and serious complication of open hepatectomy for the treatment of biliary tract cancer. AIM To evaluate the incidence, risk factors, and management of bile leakage after open hepatectomy in patients with biliary tract cancer. METHODS We retrospectively analyzed 120 patients who underwent open hepatectomy for biliary tract cancer from February 2018 to February 2023. Bile leak was defined as bile drainage from the surgical site or drain or the presence of a biloma on imaging. The incidence, severity, timing, location, and treatment of the bile leaks were recor

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Masoni, Luigi, Leandro Landi, and Riccardo Maglio. "Intraoperative Treatment of Duct of Luschka during Laparoscopic Cholecystectomy: A Case Report and Revision of Literature." Case Reports in Surgery 2018 (December 17, 2018): 1–3. http://dx.doi.org/10.1155/2018/9813489.

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Background. Bile leakage still remains a serious complication during cholecystectomies. In limited cases, this complication may occur from injury of the so-called ducts of Luschka. These rare ducts are usually discovered intraoperatively, and their presence poses the risk of bile injury and clinically significant bile leak. Presentation Case. We present a unique case of a 59-year-old male patient with acute cholecystitis. After removal of the gallbladder, thorough inspection of the hepatic bed was made and a little bile leak was identified from a duct of Luschka 1 cm away from the gallbladder

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Tewani, Sumeet K., Brian G. Turner, Ram Chuttani, Douglas K. Pleskow, and Mandeep S. Sawhney. "Location of bile leak predicts the success of ERCP performed for postoperative bile leaks." Gastrointestinal Endoscopy 77, no. 4 (2013): 601–8. http://dx.doi.org/10.1016/j.gie.2012.11.026.

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Elkamry, A., A. Mohallel, S. S. Bessa, S. E. Hegab, and M. M. El Shafey. "The role of percutaneous radiological guided interventions in the management of biliary leakage." Egyptian Journal of Surgery 42, no. 3 (2023): 760–66. http://dx.doi.org/10.4103/ejs.ejs_112_23.

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Background Percutaneous image-guided biliary interventions is an important tool to deal with bile leaks. This prospective study was conducted from March 2021 to April 2023 aiming to clarify the role of image-guided interventions in the management of bile leaks, preventing its devastating consequences. Patients and methods We prospectively studied 30 patients diagnosed with bile leakage referred to our department between March 2021 to April 2023. We analyzed cause and time of bile leak presentation, percutaneous biliary drainage technique, and additional procedures when required, the technical

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Goodwin, Aaron, Jason Lewis, and David Iannitti. "Bile Peritonitis After Percutaneous Liver Biopsy and Persistent Bile Leak." American Journal of Gastroenterology 110 (October 2015): S106—S107. http://dx.doi.org/10.14309/00000434-201510001-00246.

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Allegue, F., L. Pérez-Pérez, MT Maza, JA Hermo, and A. Zulaica. "Localized Abdominal Wall Bile Staining Due To Retroperitoneal Bile Leak." Acta Dermato Venereologica 89, no. 4 (2009): 410–11. http://dx.doi.org/10.2340/00015555-0618.

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Peng, Calvin, Daniel Chubb, Benjamin N. K. Thomson, and Francis J. Miller. "A case of spontaneous bile leak." ANZ Journal of Surgery 88, no. 5 (2015): E458—E459. http://dx.doi.org/10.1111/ans.13409.

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Hassanen, Ayman. "ENDOSCOPIC MANAGEMENT OF POSTCHOLECYSTECTOMY BILE LEAK." Egyptian Journal of Surgery 27, no. 2 (2008): 71–77. http://dx.doi.org/10.21608/ejsur.2008.371215.

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SARASWAT, VA, G. CHOUDHURI, BC SHARMA, et al. "Endoscopic management of postoperative bile leak." Journal of Gastroenterology and Hepatology 11, no. 2 (1996): 148–51. http://dx.doi.org/10.1111/j.1440-1746.1996.tb00052.x.

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Pohl, J. "Bile Duct Leak after Liver Trauma." Video Journal and Encyclopedia of GI Endoscopy 1, no. 2 (2013): 429–30. http://dx.doi.org/10.1016/s2212-0971(13)70192-4.

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Kale, V. R. "Bile leak risk after laparoscopic cholecystectomy." BMJ 308, no. 6922 (1994): 199. http://dx.doi.org/10.1136/bmj.308.6922.199a.

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Elias, AbdAl-Kareem, GamalG Shemy, and AhmedM Hassan. "Bile leak following T-tube removal." Al-Azhar Assiut Medical Journal 19, no. 3 (2021): 469. http://dx.doi.org/10.4103/azmj.azmj_50_21.

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Johnson, Deepak K. "S2623 ERCP for Postoperative Bile Leak." American Journal of Gastroenterology 118, no. 10S (2023): S1811. http://dx.doi.org/10.14309/01.ajg.0000960132.40653.cc.

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Shah, Monali, Mihir M. Shah, and David A. Kooby. "Rare bile leak from left triangular ligament." BMJ Case Reports 14, no. 4 (2021): e238819. http://dx.doi.org/10.1136/bcr-2020-238819.

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Variations of the biliary system present challenges to abdominal operations and can affect postoperative outcomes. Bile leak is an uncommon complication of total gastrectomy. However, any procedure that involves mobilisation of the left lobes of the liver should be executed with additional caution. A thorough assessment including preoperative imaging for aberrant anatomy should be performed, especially aberrant bile ducts in the left triangular ligament. Ligation or suturing of the left triangular ligament should be considered when the aberrant anatomy suggests, to decrease the risk of postope

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Hua, Jie, Shengping Lin, Daohai Qian, Zhigang He, Ti Zhang, and Zhenshun Song. "Primary Closure and Rate of Bile Leak following Laparoscopic Common Bile Duct Exploration via Choledochotomy." Digestive Surgery 32, no. 1 (2015): 1–8. http://dx.doi.org/10.1159/000368326.

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Background: Choledocholithiasis is traditionally managed by endoscopic retrograde cholangiopancreatography or T-tube insertion following common bile duct exploration. This study examined the efficacy and safety of primary duct closure following laparoscopic common bile duct exploration (LCBDE) via choledochotomy. Methods: Between September 2011 and September 2013, 157 consecutive patients underwent LCBDE via choledochotomy. Results: Of 157 LCBDE procedures, 138 (87.9%) were successfully completed with primary closure of the choledochotomy. Eight patients (5.1%) underwent closure with T-tube dr

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Van Wieren, Alizabeth, and Abdul Haseeb. "Duct of Luschka leak." JAAPA 37, no. 11 (2024): 1–3. http://dx.doi.org/10.1097/01.jaa.0000000000000050.

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ABSTRACT Bile leakage is a serious early postoperative complication of cholecystectomy. A leak in the duct of Luschka, though rare, can cause significant patient morbidity after a cholecystectomy. Early recognition of this uncommon complication allows for early therapeutic intervention.

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Ostapenko, Alexander, Stephanie Stroever, Lud Eyasu, et al. "Role of ablation therapy in conjunction with surgical resection for neuroendocrine tumors involving the liver." World Journal of Gastrointestinal Surgery 16, no. 3 (2024): 768–76. http://dx.doi.org/10.4240/wjgs.v16.i3.768.

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BACKGROUND Resection of hepatic metastasis from neuroendocrine tumors (NETs) improves quality of life and prolongs 5-year survival. Ablation can be utilized with surgery to achieve complete resection. Although several studies report long-term outcomes for patients undergoing ablation, none have explored perioperative effects of ablation in patients with metastatic NETs. AIM To determine if intra-operative ablation during hepatectomy increases risk of adverse outcomes such as surgical site infections (SSIs), bleeding, and bile leak. METHODS A retrospective analysis of the hepatectomy National S

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Goenka, M. K., R. Kochhar, D. Bhasin, et al. "Role of Endoscopic Retrograde Cholangiography and Nasobiliary Drainage in the Management of Postoperative Biliary Leak." Diagnostic and Therapeutic Endoscopy 3, no. 4 (1997): 221–29. http://dx.doi.org/10.1155/dte.3.221.

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In order to assess the role of endoscopic retrograde cholangiography in evaluating the patients with post-operative biliary leak and of endoscopic nasobiliary drainage in its management, 36 patients with biliary leak seen over a period of 9 years were studied. Thirty-two had biliary leak following cholecystectomy, 3 following repair of liver trauma and 1 following choledochoduodenostomy. Patients presented at an interval of 4 days to 210 days (mean ± SEM, 32.4 ± 6.7 days) following laparotomy. Hyperbilirubinemia was noticed in only 13 patients (36.1%), while abdominal ultrasonogram showed asci

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Putri, Dilla, Santoso Jaeri, Agung Aji Prasetyo, and Sigit Adi Prasetyo. "The Difference of Length of Stay, Surgical Site Infection, Post Surgical Pain, and Bile Leak in Laparoscopic Cholecystectomy and Open Cholecystectomy." DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) 10, no. 2 (2021): 112–17. http://dx.doi.org/10.14710/dmj.v10i2.29402.

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Background: The incidence of cholesistolithiasis is increased due to the changes of diet to the western diet. The cholecystectomy is one of the treatments for cholecystolithiasis. It can be divided into laparoscopic cholecystectomy and laparotomy cholecystectomi. The previous study demonstrated that the laparoscopic cholecystectomy was better than laparotomy cholecystectomy for postoperative length of stay, surgical site infection, postoperative pain, and bile leak in cholecystolithiasis, but there is no official data and research yet in Indonesia Objective: To determine the difference of post

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Schmitz, Daniel, Massimiliano Mutignani, Ulf Peter Neumann, et al. "Percutaneous Embolization of Biliary Leaks: A Systematic Interdisciplinary Review and Proposal for a New Classification." Digestive Disease Interventions 04, no. 02 (2020): 214–22. http://dx.doi.org/10.1055/s-0040-1712974.

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Abstract Objectives Biliary leak can be treated by percutaneous biliary embolization. The aim of this systematic interdisciplinary review was to analyze available reports on percutaneous embolization of biliary leak. Methods We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) approach to perform literature database search. The following terms were systematically analyzed: type of embolic agent, success rates, embolization-related adverse events, cause of biliary leak, fistula connection type, anatomic bile duct variants, and access routes. Results Of 713 pub

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Peneva, Elena, Stefani Gjorgjioska, and Smiljana Kocev Bundovska. "A BILIARY LEAK FROM DUCTS OF LUSCHKA AFTER LAPAROSCOPIC CHOLECYSTECTOMY - IMAGING FINDINGS." Macedonian Journal of Anaesthesia 9, no. 2 (2025): 104–10. https://doi.org/10.55302/mja2592104p.

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Acute cholecystitis is a condition which treatment usually involves surgery, and the most used is laparoscopic cholecystectomy. Bile leakage is a complication of laparoscopic cholecystectomy, often caused by injury to small aberrant bile ducts, such as the ducts of Luschka. We report a case of a 25-years-old female who was presented with abdominal pain five days after laparoscopic cholecystectomy. A CT scan and MRCP scan revealed a small bile collection in the gallbladder bed and the bile leakage was suspected. A laparoscopic revision was performed, during which a biliary collection was aspira

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Rasekhi, Alireza, and Nasir Babakhan Kondori. "Causes and Treatment of Bile Leaks at the Puncture Site After Percutaneous Transhepatic Biliary Decompression." American Journal of Interventional Radiology 3 (September 10, 2019): 8. http://dx.doi.org/10.25259/ajir_3_2019.

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Introduction: Bile leaks at the puncture site after percutaneous transhepatic biliary decompression (PTBD) are not uncommon and cause a lot of problems for patients with non-resectable biliary malignant obstruction. However, to the best of the authors’ knowledge, no study is conducted to establish the causes and to find an appropriate treatment. The current study was conducted on 264 patients who underwent PTBD for a malignant biliary obstruction. Material and Methods: This retrospective study reviewed 264 patients with non-resectable malignant biliary obstruction requiring PTBD. A two-stage b

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Griffen, Margaret, Juan Ochoa, and Bernard R. Boulanger. "A Minimally Invasive Approach to Bile Peritonitis after Blunt Liver Injury." American Surgeon 66, no. 3 (2000): 309–12. http://dx.doi.org/10.1177/000313480006600317.

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The advent of nonoperative management of liver injuries has made it imperative that surgeons be familiar with the potential delayed complications of this approach. In this report, we describe a minimally invasive strategy for the management of bile peritonitis following nonoperative management of blunt liver injuries. Two cases are presented in which bile peritonitis with massive bile ascites was managed with laparoscopic localization and drainage of the bile leak, irrigation of the peritoneal cavity, and postoperative endoscopic retrograde cholangiography with bile duct stenting. In both case

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Dwivedi, Pankaj, Mukta Waghmare, Hemanshi Shah, Charu Tiwari, and Kiran Khedkar. "Management of Traumatic Liver and Bile Duct Laceration." Euroasian Journal of Hepato-Gastroenterology 7, no. 2 (2017): 188–90. http://dx.doi.org/10.5005/jp-journals-10018-1247.

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ABSTRACT Posttraumatic major bile leak in children is uncommon, with few cases reported in the literature. These injuries are seen in high-grade liver trauma and are difficult to diagnose and manage. We describe a 7-year-old boy with grade IV hepatic trauma and bile leak following blunt abdominal trauma. The leak was successfully managed by percutaneous drainage and endoscopic retrograde cholangiopancreatography (ERCP) stenting of the injured hepatic duct. How to cite this article Tiwari C, Shah H, Waghmare M, Khedkar K, Dwivedi P. Management of Traumatic Liver and Bile Duct Laceration. Euroas

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Stanton, R., P. I. Craig, J. O. Jorgensen, and D. L. Morris. "Leakage Via Aberrant Bile Duct Due to Cholangiocarcinoma." HPB Surgery 11, no. 2 (1998): 125–28. http://dx.doi.org/10.1155/1998/61506.

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The case of a male who had an open cholecystectomy complicated by presistent bile leak from an aberrant bile duct is presented. The persistence and volume of bile leak resulted in subsequent investigation of the biliary tree which demonstrated a cholangiocarcinoma of the right hepatic duct. This case is presented as an unusual presentation of cholangiocarcinoma and to highlight the value of modern techniques in imaging the biliary tree.

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