Efficacy and safety of nasobiliary drain in patients with postoperative biliary leakage
The aim of the present study is to examine the efficacy of nasobiliary drainage with endoscopic retrograde cholangiopancreaticography on the necessity of a subsequent surgery or endoscopic or radiological intervention for patients with biliary leakage. 37 cases of bile leakage were followed. The loc...
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| Format: | Article |
| Language: | English |
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Society of Turaz Bilim
2019-12-01
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| Series: | Medicine Science |
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| Online Access: | http://www.ejmanager.com/fulltextpdf.php?mno=48018 |
| _version_ | 1827360516072275968 |
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| author | Nurettin Tunc Mustafa Girgin Ibrahim Halil Bahcecioglu Mehmet Yalniz |
| author_facet | Nurettin Tunc Mustafa Girgin Ibrahim Halil Bahcecioglu Mehmet Yalniz |
| author_sort | Nurettin Tunc |
| collection | DOAJ |
| description | The aim of the present study is to examine the efficacy of nasobiliary drainage with endoscopic retrograde cholangiopancreaticography on the necessity of a subsequent surgery or endoscopic or radiological intervention for patients with biliary leakage. 37 cases of bile leakage were followed. The location of the biliary leakage with endoscopic retrograde cholangiopancreaticography, the presence of post-endoscopic retrograde cholangiopancreaticography complications and whether a second surgery was performed were retrospectively reviewed. The study sample included 37 patients, namely 22 women and 15 men. The average age of the patients was 45.6 years. The biliary leakage identified among the patients (26/37) by way of the endoscopic retrograde cholangiopancreaticography procedure was located in their intrahepatic biliary tract in 27.0%, their gallbladder cavity in 37.8%, and the hilar region in 5.4%, and was unspecified suspected leakage in 29.7%. 24 (64.8%) of the cases had undergone cholecystectomy and 10 (27.0%) hydatid cyst surgery, while one of case lobectomy + cholecystectomy and 2 of sharp-object injuries. Their average duration of hospitalisation was 17.7 days. The cases that had undergone surgery for hydatid cysts exhibited an average duration of hospitalisation of 24.6 days. Nasobiliary drainage had secured medical treatment without the need for a surgical intervention in 91.9% of the cases. Experienced medical centres should primarily prefer the effective and reliable procedure of endoscopic retrograde cholangiopancreaticography and the administration of nasobiliary drain as highly successful method for the non-surgical treatment of postoperative biliary leakage. [Med-Science 2019; 8(4.000): 994-7] |
| first_indexed | 2024-03-08T06:49:17Z |
| format | Article |
| id | doaj.art-94e3544cce644a81a70db7c7c7306e14 |
| institution | Directory Open Access Journal |
| issn | 2147-0634 |
| language | English |
| last_indexed | 2024-03-08T06:49:17Z |
| publishDate | 2019-12-01 |
| publisher | Society of Turaz Bilim |
| record_format | Article |
| series | Medicine Science |
| spelling | doaj.art-94e3544cce644a81a70db7c7c7306e142024-02-03T07:28:54ZengSociety of Turaz BilimMedicine Science2147-06342019-12-0184994710.5455/medscience.2019.08.911848018Efficacy and safety of nasobiliary drain in patients with postoperative biliary leakageNurettin Tunc0Mustafa GirginIbrahim Halil BahceciogluMehmet YalnizDiyarbakir Gazi Yasargil Treaning and Research Hospital, Department of Gastroenterology, Diyarbakir, Turkey Firat University, Faculty of Medicine, Department of General Surgery, Elazig, Turkey Firat University, Faculty of Medicine, Department of Gastroenterology, Elazig, TurkeyThe aim of the present study is to examine the efficacy of nasobiliary drainage with endoscopic retrograde cholangiopancreaticography on the necessity of a subsequent surgery or endoscopic or radiological intervention for patients with biliary leakage. 37 cases of bile leakage were followed. The location of the biliary leakage with endoscopic retrograde cholangiopancreaticography, the presence of post-endoscopic retrograde cholangiopancreaticography complications and whether a second surgery was performed were retrospectively reviewed. The study sample included 37 patients, namely 22 women and 15 men. The average age of the patients was 45.6 years. The biliary leakage identified among the patients (26/37) by way of the endoscopic retrograde cholangiopancreaticography procedure was located in their intrahepatic biliary tract in 27.0%, their gallbladder cavity in 37.8%, and the hilar region in 5.4%, and was unspecified suspected leakage in 29.7%. 24 (64.8%) of the cases had undergone cholecystectomy and 10 (27.0%) hydatid cyst surgery, while one of case lobectomy + cholecystectomy and 2 of sharp-object injuries. Their average duration of hospitalisation was 17.7 days. The cases that had undergone surgery for hydatid cysts exhibited an average duration of hospitalisation of 24.6 days. Nasobiliary drainage had secured medical treatment without the need for a surgical intervention in 91.9% of the cases. Experienced medical centres should primarily prefer the effective and reliable procedure of endoscopic retrograde cholangiopancreaticography and the administration of nasobiliary drain as highly successful method for the non-surgical treatment of postoperative biliary leakage. [Med-Science 2019; 8(4.000): 994-7]http://www.ejmanager.com/fulltextpdf.php?mno=48018biliary leakagenasobiliary drainefficacyercp |
| spellingShingle | Nurettin Tunc Mustafa Girgin Ibrahim Halil Bahcecioglu Mehmet Yalniz Efficacy and safety of nasobiliary drain in patients with postoperative biliary leakage Medicine Science biliary leakage nasobiliary drain efficacy ercp |
| title | Efficacy and safety of nasobiliary drain in patients with postoperative biliary leakage |
| title_full | Efficacy and safety of nasobiliary drain in patients with postoperative biliary leakage |
| title_fullStr | Efficacy and safety of nasobiliary drain in patients with postoperative biliary leakage |
| title_full_unstemmed | Efficacy and safety of nasobiliary drain in patients with postoperative biliary leakage |
| title_short | Efficacy and safety of nasobiliary drain in patients with postoperative biliary leakage |
| title_sort | efficacy and safety of nasobiliary drain in patients with postoperative biliary leakage |
| topic | biliary leakage nasobiliary drain efficacy ercp |
| url | http://www.ejmanager.com/fulltextpdf.php?mno=48018 |
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