Management of iatrogenic bile duct injuries: role of the interventional radiologist

Radiographics : a Review Publication of the Radiological Society of North America, Inc
Colin M ThompsonChristine O Menias

Abstract

Bile duct injuries are infrequent but potentially devastating complications of biliary tract surgery and have become more common since the introduction of laparoscopic cholecystectomy. The successful management of these injuries depends on the injury type, the timing of its recognition, the presence of complicating factors, the condition of the patient, and the availability of an experienced hepatobiliary surgeon. Bile duct injuries may lead to bile leakage, intraabdominal abscesses, cholangitis, and secondary biliary cirrhosis due to chronic strictures. Imaging is vital for the initial diagnosis of bile duct injury, assessment of its extent, and guidance of its treatment. Imaging options include cholescintigraphy, ultrasonography, computed tomography, magnetic resonance cholangiopancreatography, endoscopic retrograde cholangiopancreatography, percutaneous transhepatic cholangiography, and fluoroscopy with a contrast medium injected via a surgically or percutaneously placed biliary drainage catheter. Depending on the type of injury, management may include endoscopic, percutaneous, and open surgical interventions. Percutaneous intervention is performed for biloma and abscess drainage, transhepatic biliary drainage, U-tube placem...Continue Reading

References

Aug 1, 1993·Annals of Surgery·J J RoslynJ A Cates
Apr 16, 1998·Surgical Endoscopy·B V MacFadyenC R Mathis
Dec 8, 1998·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·T W BauerE F Rosato
May 12, 2000·Archives of Surgery·C M LeeL W Way
Dec 19, 2001·Techniques in Vascular and Interventional Radiology·A C Venbrux, F A Osterman
Dec 19, 2001·Techniques in Vascular and Interventional Radiology·A B WinickA C Venbrux
Jun 21, 2002·ANZ Journal of Surgery·K SlaterS V Lynch
Oct 23, 2002·Cardiovascular and Interventional Radiology·Hans-Ulrich Laasch, Derrick F Martin
Mar 26, 2003·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·William C ChapmanSteven M Strasberg
Oct 23, 2003·JAMA : the Journal of the American Medical Association·David R FlumLeighton Chan
Feb 5, 2004·Journal of the American College of Surgeons·Sanjay MisraKeith D Lillemoe
Mar 17, 2005·Cardiovascular and Interventional Radiology·Rafael F PeriniDavid Adams
Jan 25, 2006·The British Journal of Surgery·S Connor, O J Garden
Aug 30, 2008·Techniques in Vascular and Interventional Radiology·Anne M Covey, Karen T Brown
Aug 30, 2008·Techniques in Vascular and Interventional Radiology·Wael E A Saad
Aug 30, 2008·Techniques in Vascular and Interventional Radiology·Wael E A SaadMichael D Darcy
Oct 17, 2008·Techniques in Vascular and Interventional Radiology·Nael Saad, Michael Darcy
Oct 17, 2008·Techniques in Vascular and Interventional Radiology·Wael E A Saad
Feb 18, 2009·Journal of Gastroenterology and Hepatology·Andreas WeberChristian Prinz
Oct 10, 2009·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Lygia Stewart, Lawrence W Way
Oct 27, 2009·Techniques in Vascular and Interventional Radiology·Benjamin J Pomerantz
Mar 24, 2010·Journal of Vascular and Interventional Radiology : JVIR·Wael E A SaadJohn F Cardella
Jun 26, 2010·ANZ Journal of Surgery·Wan Yee LauStephanie H Y Lau

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Citations

Nov 26, 2013·Journal of Vascular and Interventional Radiology : JVIR·Andrew M SurmanMark W Wilson
Jul 8, 2015·Journal of Visceral Surgery·A P WysockiJ B North
Apr 9, 2015·Langenbeck's Archives of Surgery·Ferdinando AgrestaUNKNOWN Italian Surgical Societies Working Group
Jun 24, 2014·Journal of Visceral Surgery·L BarbierP Ah-Soune
Aug 10, 2016·Abdominal Radiology·Christina A LeBedisJorge A Soto
Oct 24, 2018·Radiology·Baljendra S KapoorJonathan M Lorenz
Jun 7, 2018·Cardiovascular and Interventional Radiology·Charles MastierAgnès Rode
Mar 7, 2020·Journal of Investigative Medicine High Impact Case Reports·Kulraj GrewalArash Heidari
Nov 17, 2019·Radiologic Clinics of North America·Ryan B O'Malley, Jonathan W Revels
Jun 24, 2017·Journal of Clinical Gastroenterology·Scott CathcartMicheal Schuster
Feb 13, 2021·Abdominal Radiology·Shilpa ReddyFrank H Miller
Apr 10, 2021·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Cristina MosconiRita Golfieri

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