Clin Endosc.  2023 Jul;56(4):531-533. 10.5946/ce.2022.103.

Successful treatment of a refractory bile leak with endoclips during percutaneous necrosectomy

Affiliations
  • 1Department of Medicine, University of Arizona College of Medicine, Phoenix, AZ, USA
  • 2Department of Gastroenterology, University of Arizona College of Medicine, Phoenix, AZ, USA
  • 3Interventional Endoscopy Associates, Peoria, AZ, USA


Figure

  • Fig. 1. Fluoroscopic image of active contrast extravasation consistent with biliary leak (arrows).

  • Fig. 2. Endoscopic view of the 2 cm bile wall defect (arrows) via a percutaneous approach.

  • Fig. 3. Endoscopic view after the bile duct wall defect was repaired with endoclips via a percutaneous approach. Arrow demonstrates the repaired bile duct wall defect.

  • Fig. 4. Fluoroscopic image 3 months after percutaneous repair of common bile duct defect with endoclips with no contrast extravasation. Arrows demonstrate lack of contrast extravasation, consistent with repaired common bile duct.


Reference

1. Kohn JF, Trenk A, Kuchta K, et al. Characterization of common bile duct injury after laparoscopic cholecystectomy in a high-volume hospital system. Surg Endosc. 2018; 32:1184–1191.
2. Jan YY, Chen HM, Wang CS, et al. Biliary complications during and after laparoscopic cholecystectomy. Hepatogastroenterology. 1997; 44:370–375.
3. Halbert C, Altieri MS, Yang J, et al. Long-term outcomes of patients with common bile duct injury following laparoscopic cholecystectomy. Surg Endosc. 2016; 30:4294–4299.
4. Nassar AHM, Ng HJ. Risk identification and technical modifications reduce the incidence of post-cholecystectomy bile leakage: analysis of 5675 laparoscopic cholecystectomies. Langenbecks Arch Surg. 2022; 407:213–223.
5. Canena J, Horta D, Coimbra J, et al. Outcomes of endoscopic management of primary and refractory postcholecystectomy biliary leaks in a multicentre review of 178 patients. BMC Gastroenterol. 2015; 15:105.
Full Text Links
  • CE
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr