Successful outcome of sphincterotomy and 7 French pigtail stent insertion in the management of post-cholecystectomy bile leaks.

Hdl Handle:
http://hdl.handle.net/10147/94200
Title:
Successful outcome of sphincterotomy and 7 French pigtail stent insertion in the management of post-cholecystectomy bile leaks.
Authors:
Donnellan, Fergal; Zeb, Faisal; Courtney, Garry; Aftab, Abdur R
Affiliation:
Department of Gastroenterology, St. Luke's Hospital, Kilkenny, Ireland. fdonnellan77@hotmail.com.
Citation:
Successful outcome of sphincterotomy and 7 French pigtail stent insertion in the management of post-cholecystectomy bile leaks. 2009, 8 (3):309-11 HBPD INT
Journal:
Hepatobiliary & pancreatic diseases international : HBPD INT
Issue Date:
Jun-2009
URI:
http://hdl.handle.net/10147/94200
PubMed ID:
19502173
Abstract:
BACKGROUND: Endoscopic retrograde cholangiopancreatography (ERCP) is widely used to manage post-cholecystectomy bile leaks. However, the best endoscopic intervention remains controversial. We investigated the success of a 7 French double pigtail stent following sphincterotomy in the management of such bile leaks. METHODS: Between July 1998 and June 2008, 48 patients were referred for ERCP for presumed post-cholecystectomy bile leaks. Leaks were confirmed at ERCP and managed by a combination of sphincterotomy and stent insertion unless contraindicated. RESULTS: Bile duct cannulation was successful in 44 (91.7%) patients. A leak of the cystic duct was demonstrated in 19 (43.2%) patients, the duct of Luschka in 11 (25.0%), and the common hepatic duct in 5 (11.4%). Complete transection of the common bile duct occurred in 4 patients. The remaining patients had no cholangiographic evidence of a leak. Sphincterotomy was performed in 34 patients. A 7 French double pigtail plastic stent was placed in all 35 patients with cholangiographic evidence of a bile leak. No bile leaks were demonstrated at a follow-up of 8-16 weeks and all stents were removed successfully. CONCLUSION: The combination of sphincterotomy and insertion of a 7 French double pigtail stent results in excellent outcomes in the management of post-cholecystectomy bile leaks.
Language:
en
MeSH:
Adolescent; Adult; Aged; Aged, 80 and over; Biliary Tract Diseases; Cholangiopancreatography, Endoscopic Retrograde; Cholecystectomy; Drainage; Female; Follow-Up Studies; Humans; Laparoscopy; Male; Middle Aged; Retrospective Studies; Sphincterotomy, Endoscopic; Stents; Treatment Outcome; Young Adult
ISSN:
1499-3872

Full metadata record

DC FieldValue Language
dc.contributor.authorDonnellan, Fergalen
dc.contributor.authorZeb, Faisalen
dc.contributor.authorCourtney, Garryen
dc.contributor.authorAftab, Abdur Ren
dc.date.accessioned2010-03-12T15:36:25Z-
dc.date.available2010-03-12T15:36:25Z-
dc.date.issued2009-06-
dc.identifier.citationSuccessful outcome of sphincterotomy and 7 French pigtail stent insertion in the management of post-cholecystectomy bile leaks. 2009, 8 (3):309-11 HBPD INTen
dc.identifier.issn1499-3872-
dc.identifier.pmid19502173-
dc.identifier.urihttp://hdl.handle.net/10147/94200-
dc.description.abstractBACKGROUND: Endoscopic retrograde cholangiopancreatography (ERCP) is widely used to manage post-cholecystectomy bile leaks. However, the best endoscopic intervention remains controversial. We investigated the success of a 7 French double pigtail stent following sphincterotomy in the management of such bile leaks. METHODS: Between July 1998 and June 2008, 48 patients were referred for ERCP for presumed post-cholecystectomy bile leaks. Leaks were confirmed at ERCP and managed by a combination of sphincterotomy and stent insertion unless contraindicated. RESULTS: Bile duct cannulation was successful in 44 (91.7%) patients. A leak of the cystic duct was demonstrated in 19 (43.2%) patients, the duct of Luschka in 11 (25.0%), and the common hepatic duct in 5 (11.4%). Complete transection of the common bile duct occurred in 4 patients. The remaining patients had no cholangiographic evidence of a leak. Sphincterotomy was performed in 34 patients. A 7 French double pigtail plastic stent was placed in all 35 patients with cholangiographic evidence of a bile leak. No bile leaks were demonstrated at a follow-up of 8-16 weeks and all stents were removed successfully. CONCLUSION: The combination of sphincterotomy and insertion of a 7 French double pigtail stent results in excellent outcomes in the management of post-cholecystectomy bile leaks.-
dc.language.isoenen
dc.subject.meshAdolescent-
dc.subject.meshAdult-
dc.subject.meshAged-
dc.subject.meshAged, 80 and over-
dc.subject.meshBiliary Tract Diseases-
dc.subject.meshCholangiopancreatography, Endoscopic Retrograde-
dc.subject.meshCholecystectomy-
dc.subject.meshDrainage-
dc.subject.meshFemale-
dc.subject.meshFollow-Up Studies-
dc.subject.meshHumans-
dc.subject.meshLaparoscopy-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshRetrospective Studies-
dc.subject.meshSphincterotomy, Endoscopic-
dc.subject.meshStents-
dc.subject.meshTreatment Outcome-
dc.subject.meshYoung Adult-
dc.titleSuccessful outcome of sphincterotomy and 7 French pigtail stent insertion in the management of post-cholecystectomy bile leaks.en
dc.contributor.departmentDepartment of Gastroenterology, St. Luke's Hospital, Kilkenny, Ireland. fdonnellan77@hotmail.com.en
dc.identifier.journalHepatobiliary & pancreatic diseases international : HBPD INTen

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