Endoscopic management of postcholecystectomy bile duct injuries: Review

Injuries to the biliary tree arising as a consequence of cholecystectomy, continue to be significant complicating factors. The advent of laparoscopic cholecystectomy has resulted in a further rise in the incidence of these injuries. Various means of investigation are available to assess the site, ex...

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Main Authors: Al Karawi Mohamed, Sanai Faisal, Mohamed Abdulrahman, Mohamed Sohail
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2000-01-01
Series:The Saudi Journal of Gastroenterology
Subjects:
Online Access:http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2000;volume=6;issue=2;spage=67;epage=78;aulast=Al
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author Al Karawi Mohamed
Sanai Faisal
Mohamed Abdulrahman
Mohamed Sohail
author_facet Al Karawi Mohamed
Sanai Faisal
Mohamed Abdulrahman
Mohamed Sohail
author_sort Al Karawi Mohamed
collection DOAJ
description Injuries to the biliary tree arising as a consequence of cholecystectomy, continue to be significant complicating factors. The advent of laparoscopic cholecystectomy has resulted in a further rise in the incidence of these injuries. Various means of investigation are available to assess the site, extent and severity of the damage to the biliary tree. Lately, the endoscopic option seems to have gained popularity in the management of these patients as it can combine both the investigative and therapeutic arms in one common procedure. This procedure is recommended as the primary modality of intervention gaining precedence over the radiological and surgical options. Since limitations exist in managing these patients with endoscopic retrograde cholangiopancreatography, a combined approach between the endoscopist, surgeon and radiologist, is the most practical option. In this article, we review the various types of biliary injuries, their reported incidence, etiological factors, the diagnostic means available, and the endoscopic management of each.
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spelling doaj.art-c05965fbe1da41d0ba9ca5ea770a33922022-12-22T02:39:12ZengWolters Kluwer Medknow PublicationsThe Saudi Journal of Gastroenterology1319-37672000-01-01626778Endoscopic management of postcholecystectomy bile duct injuries: ReviewAl Karawi MohamedSanai FaisalMohamed AbdulrahmanMohamed SohailInjuries to the biliary tree arising as a consequence of cholecystectomy, continue to be significant complicating factors. The advent of laparoscopic cholecystectomy has resulted in a further rise in the incidence of these injuries. Various means of investigation are available to assess the site, extent and severity of the damage to the biliary tree. Lately, the endoscopic option seems to have gained popularity in the management of these patients as it can combine both the investigative and therapeutic arms in one common procedure. This procedure is recommended as the primary modality of intervention gaining precedence over the radiological and surgical options. Since limitations exist in managing these patients with endoscopic retrograde cholangiopancreatography, a combined approach between the endoscopist, surgeon and radiologist, is the most practical option. In this article, we review the various types of biliary injuries, their reported incidence, etiological factors, the diagnostic means available, and the endoscopic management of each.http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2000;volume=6;issue=2;spage=67;epage=78;aulast=AlPostcholecystectomy: bile duct injury: leak: stricture: endoscopic management.
spellingShingle Al Karawi Mohamed
Sanai Faisal
Mohamed Abdulrahman
Mohamed Sohail
Endoscopic management of postcholecystectomy bile duct injuries: Review
The Saudi Journal of Gastroenterology
Postcholecystectomy: bile duct injury: leak: stricture: endoscopic management.
title Endoscopic management of postcholecystectomy bile duct injuries: Review
title_full Endoscopic management of postcholecystectomy bile duct injuries: Review
title_fullStr Endoscopic management of postcholecystectomy bile duct injuries: Review
title_full_unstemmed Endoscopic management of postcholecystectomy bile duct injuries: Review
title_short Endoscopic management of postcholecystectomy bile duct injuries: Review
title_sort endoscopic management of postcholecystectomy bile duct injuries review
topic Postcholecystectomy: bile duct injury: leak: stricture: endoscopic management.
url http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2000;volume=6;issue=2;spage=67;epage=78;aulast=Al
work_keys_str_mv AT alkarawimohamed endoscopicmanagementofpostcholecystectomybileductinjuriesreview
AT sanaifaisal endoscopicmanagementofpostcholecystectomybileductinjuriesreview
AT mohamedabdulrahman endoscopicmanagementofpostcholecystectomybileductinjuriesreview
AT mohamedsohail endoscopicmanagementofpostcholecystectomybileductinjuriesreview