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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Post-cholecystectomy biliary injuries: One center experience
Hepato-Gastroenterology, Volume 58, No. 107-108, Year 2011
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Description
Background/Aims: Post-cholecystectomy bile duct injuries (BDIs) represent a challenge in diagnosis and management. Methodology: From March 1995 to August 2009, 274 patients with post-cholecystectomy BDIs were managed at our center. All patients were subjected to laboratory tests, sonography, ERCP and MRCP. The management varied according to the type of injury. Results: Seventy-one (25.9%) LC and 203 (74.1%) OC were performed; 8(2.9%) were detected intraoperatively; 270 patients were referred from other hospitals. From those discovered intraoperatively, 7 had hepatico-jejunostomy and one died from severe peritonitis; 11 (4%) presented with generalized and 112 (40.9%) with localized peritonitis. The leak site was the cystic duct (57 cases), accessory duct in the liver bed (5 cases), right hepatic duct (4 cases) and lateral tear in the CBD (12 cases). Endoscopic stenting was performed for all of them. The remaining 34 patients had a completely ligated distal duct and therefore had hepatico-jejunostomy Roux loop; 143 patients (52.2%) presented with early (79 cases) and late (64 cases) jaundice; 126 cases had hepatico-jejunostomy. The remaining 17 patients were treated by balloon dilatation. Conclusions: Endoscopic stenting can manage cases with cystic or accessory duct leak while, hepatico-jejunostomy Roux loop represents the golden procedure for management of transected or ligated CBD. © H.G.E. Update Medical Publishing S.A.
Authors & Co-Authors
Fathy, Omar Mohammed
Egypt, Mansoura
Gastrointestinal Surgery Center
Abd Elwahab, M. M.
Egypt, Mansoura
Gastrointestinal Surgery Center
Hamdy, Emad
Egypt, Mansoura
Gastrointestinal Surgery Center
Elshoubary, Mohamed
Egypt, Mansoura
Gastrointestinal Surgery Center
Kandiel, Tharwat
Egypt, Mansoura
Gastrointestinal Surgery Center
Elraof, Ahmad Abd
Egypt, Mansoura
Gastrointestinal Surgery Center
Elhemaly, Mohamed
Egypt, Mansoura
Gastrointestinal Surgery Center
Salah, Tarek
Egypt, Mansoura
Gastrointestinal Surgery Center
Elhanafy, Ehab
Egypt, Mansoura
Gastrointestinal Surgery Center
Atef, Ehab
Egypt, Mansoura
Gastrointestinal Surgery Center
Sultan, Ahmad M.
Egypt, Mansoura
Gastrointestinal Surgery Center
Elebiedy, Gamal
Egypt, Mansoura
Gastrointestinal Surgery Center
Anwar, Nabieh
Egypt, Mansoura
Gastrointestinal Surgery Center
Sultan, Ahmed
Egypt, Mansoura
Gastrointestinal Surgery Center
Statistics
Citations: 14
Authors: 14
Affiliations: 1
Research Areas
Violence And Injury