Endoscopic treatment for complex biliary and pancreatic duct injuries

Severe injuries of biliary or pancreatic ducts are associated with significant morbidity and mortality. Severe bile duct injuries such as major biliary leaks, complete transection, or complete occlusion of bile ducts can be grouped under the term complex bile duct injuries (CBDI). In the spectrum of...

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Main Authors: Simon Bouchard, Jacques Devière
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2014-01-01
Series:Journal of Digestive Endoscopy
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/0976-5042.141926
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author Simon Bouchard
Jacques Devière
author_facet Simon Bouchard
Jacques Devière
author_sort Simon Bouchard
collection DOAJ
description Severe injuries of biliary or pancreatic ducts are associated with significant morbidity and mortality. Severe bile duct injuries such as major biliary leaks, complete transection, or complete occlusion of bile ducts can be grouped under the term complex bile duct injuries (CBDI). In the spectrum of pancreatic duct injuries, disconnected pancreatic duct syndrome (DPDS) represents the most severe form and most often occurs after a severe episode of acute pancreatitis. Treatment of these complex injuries is quite challenging and for many years surgical management has been considered the treatment of choice. However, in the past few years, some studies have reported the successful management of CBDI or DPDS using endoscopic procedures alone or in combination with a percutaneous approach. In this review, we detail the endoscopic or combined endoscopic/percutaneous treatment possibilities for CBDI and DPDS.
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spelling doaj.art-1b6981e3cdae40ea932be15a48036b3f2022-12-21T23:53:19ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Digestive Endoscopy0976-50420976-50502014-01-01050100201210.4103/0976-5042.141926Endoscopic treatment for complex biliary and pancreatic duct injuriesSimon Bouchard0Jacques Devière1Department of Gastroenterology, Hepato-pancreatology and Digestive Oncology, Université Libre de Bruxelles, Erasme Hospital, Brussels, BelgiumDepartment of Gastroenterology, Hepato-pancreatology and Digestive Oncology, Université Libre de Bruxelles, Erasme Hospital, Brussels, BelgiumSevere injuries of biliary or pancreatic ducts are associated with significant morbidity and mortality. Severe bile duct injuries such as major biliary leaks, complete transection, or complete occlusion of bile ducts can be grouped under the term complex bile duct injuries (CBDI). In the spectrum of pancreatic duct injuries, disconnected pancreatic duct syndrome (DPDS) represents the most severe form and most often occurs after a severe episode of acute pancreatitis. Treatment of these complex injuries is quite challenging and for many years surgical management has been considered the treatment of choice. However, in the past few years, some studies have reported the successful management of CBDI or DPDS using endoscopic procedures alone or in combination with a percutaneous approach. In this review, we detail the endoscopic or combined endoscopic/percutaneous treatment possibilities for CBDI and DPDS.http://www.thieme-connect.de/DOI/DOI?10.4103/0976-5042.141926bile duct injuriesdisconnected pancreatic duct syndromepancreatic duct rupture
spellingShingle Simon Bouchard
Jacques Devière
Endoscopic treatment for complex biliary and pancreatic duct injuries
Journal of Digestive Endoscopy
bile duct injuries
disconnected pancreatic duct syndrome
pancreatic duct rupture
title Endoscopic treatment for complex biliary and pancreatic duct injuries
title_full Endoscopic treatment for complex biliary and pancreatic duct injuries
title_fullStr Endoscopic treatment for complex biliary and pancreatic duct injuries
title_full_unstemmed Endoscopic treatment for complex biliary and pancreatic duct injuries
title_short Endoscopic treatment for complex biliary and pancreatic duct injuries
title_sort endoscopic treatment for complex biliary and pancreatic duct injuries
topic bile duct injuries
disconnected pancreatic duct syndrome
pancreatic duct rupture
url http://www.thieme-connect.de/DOI/DOI?10.4103/0976-5042.141926
work_keys_str_mv AT simonbouchard endoscopictreatmentforcomplexbiliaryandpancreaticductinjuries
AT jacquesdeviere endoscopictreatmentforcomplexbiliaryandpancreaticductinjuries