التفاصيل البيبلوغرافية
| العنوان: |
Fifteen-Year Single-Center Experience of Biliary Complications in Liver Trauma Patients: Changes in the Management of Posttraumatic Bile Leak. |
| المؤلفون: |
Stonelake, Stephen, Ali, Sana, Pinkey, Benjamin, Ong, Evelyn, Anbarasan, Ravindar, McGuirk, Simon, Perera, Thamera, Mirza, Darius, Muiesan, Paolo, Sharif, Khalid |
| المصدر: |
European Journal of Pediatric Surgery; 2021, Vol. 31 Issue 3, p245-251, 7p |
| مصطلحات موضوعية: |
INJURY complications, CHOLANGITIS, LENGTH of stay in hospitals, CHOLANGIOGRAPHY, ENDOSCOPIC retrograde cholangiopancreatography, RADIONUCLIDE imaging, DIAGNOSIS |
| مستخلص: |
Introduction: Management of posttraumatic bile leak has evolved over time in our unit, from endoscopic retrograde cholangiopancreatography (ERCP) stenting to intraperitoneal drainage (IPD) alone as first-line treatment for intraperitoneal bile leak.Materials and Methods: Retrospective review of liver trauma patients from 2002 to 2017. Demographics, time and mode of diagnosis of bile leak, management, and outcome were analyzed of the box plot.Results: In 118 patients, there were 28 traumatic bile leaks. Eighteen were free intraperitoneal and 10 were localized bilomas. The median time of diagnosis was 6 days following injury. The modes of diagnosis were preemptive hepatobiliary scintigraphy (18), computed tomography (CT) or ultrasound (7), and laparotomy (3). Free intraperitoneal biliary leak management included 11 IPD alone, 3 IPD plus ERCP, 2 IPD plus transcystic biliary stent (TBS), 1 operative cholangiogram, and 1 no intervention. Median time of IPD duration was 7 days (4-95) in IPD alone versus 14 days (6-40) in IPD + ERCP/TBS (p = 0.3). Median inpatient length of stay was 13 days (8-44) in IPD alone versus 12 days (8-22) in IPD + ERCP/TBS (p = 0.4).Conclusion: Placement of IPD alone, as first-line treatment, is safe and effective in the management of intraperitoneal bile leaks, avoiding the costs and potential complications of ERCP. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
