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Biliary leaks and bilomas can occur from traumatic injury or iatrogenic injury, such as laparoscopic cholecystectomy, endoscopic retrograde cholangiopancreatography (ercp), percutaneous transhepatic cholangiography (ptc), radiofrequency ablation of hepatic tumors, and liver biopsy. However, in the presence of a perihepatic bile collection, percutaneous drainage is an adjunctive therapy that should be considered to achieve symptom relief and to reduce the risks of abscess formation and bile peritonitis. Role of ercp in the management of bile leaks ercp has emerged as a preferred minimal invasive approach for biliary leaks' primary treatment
Binmoeller et al., in 1991, first reported a case series on the endoscopic management of postoperative biliary leaks Ercp is highly effective for treating bile leaks In their study, endoscopic treatment was technically successful in 95% of cases and resulted in healing of the leak itself in 82% of.
Ercp (endoscopic retrograde cholangiopancreatography) is an examination of your bile and pancreatic ducts
It can also be a therapeutic procedure. Postsurgical or traumatic bile duct leaks (bdls) can be safely and effectively managed by endoscopic therapy via ercp The early diagnosis of bdl is important because unrecognized leaks can lead to serious adverse events (aes) The pcbl was deemed to be persistent if > 1 interventional ercp was required for the leak to resolve on cholangiogram
Bile leaks can be a complication of abdominal surgeries, specifically trauma to the biliary system during laparoscopic cholecystectomy, and can occur from a variety of sources, commonly a bile duct injury (bdi) Several ercp procedures have been used to manage bdls, including biliary sphincterotomy alone, biliary stenting with or without sphincterotomy, and nasobiliary drainage with or without sphincterotomy [7, 8].
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