Home|Journals Follow on Twitter| Subscribe to List

Directory for Medical Articles

Open Access


Gulhane Med J. 2002; 44(4): 415-422

Endoscopic Diagnosis and Treatment in Patients With Bile Duct Injury Due to Cholecystectomy

Dr. Sait BAĞCI1, Dr. Cemal Nuri ERÇİN1, Dr. Ahmet TÜZÜN1, Dr. Mustafa GÜLŞEN1, Dr. Ahmet UYGUN1, Dr. Müjdat BALKAN2, Dr. Nihat KAYMAKÇIOĞLU2, Dr. Ali İhsan UZAR2, Dr. Necmettin KARAEREN1, Dr. Kemal DAĞALP1.

Injury to the bile duct is a serious complication of cholecystectomy and bile tract surgery. The manage ment of these cases is conventionally open laparato my with direct repair. In this study we evaluate the diagnostic and therapeutic ERCP findings with bile duct injury after cholecystectomy in our patients. 28 patients (25 women, 3 men, mean age 43.7) with suspicion of bile duct injury were referred to our clinic for ERCP. Bile ducts of the patients were visualized and found the localization of the injury by ERCP except one (%96.4). Cholangiogram was normal in 1 patient. 8 bile duct transections, 3 severe strictures located in choledochus or bifurcation, 3 bile leaks from choledochus were acutely recognized and treated with surgery. 3 patients with fistula of choledochus or cystic duct stump were treated with sphincterotomy( ST) and nasobiliary drainage (NBD). 5 patients with bile duct stricture, bile leak+stricture, bile duct obstruction+leak, choledocholithiasis+stricture or choledocholithiasis were treated with ST, NBD and removal of the stone with ERCP. Stent was endoscopically applied for a long period in 3 patients. In all, 11(%42.3) of 26 patients with pathological findings were treated by only ERCP procedures. Complications after ERCP were minimal, consisting of three cases of mild, self-limited pancreatitis (% 11.1). In conclusion, ERCP is a safe and effective method for diagnose and treatment in patients with bile duct injury and should be considered always before surgery or percutaneous procedure.

Key words: ERCP, Bile Duct Injury

Share this Article

Journal of Interdisciplinary Histopathology


ScopeMed Home
Follow ScopeMed on Twitter
Author Tools
eJPort Journal Hosting
About ScopeMed
License Information
Terms & Conditions
Privacy Policy
Suggest a Journal
Publisher Login
Contact Us

The articles in Scopemed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright © ScopeMed® Information Services.
Scopemed Buttons