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논문 기본 정보

자료유형
학술저널
저자정보
Suprabhat Giri (Seth GS Medical College and KEM Hospital) Sridhar Sundaram (Seth GS Medical College and KEM Hospital) Harish Darak Sanjay Kuma (Seth GS Medical College and KEM Hospital) Shobna Bhatia (Seth GS Medical College and KEM Hospital)
저널정보
대한소화기내시경학회 Clinical Endoscopy Clinical Endoscopy 제53권 제6호
발행연도
2020.1
수록면
727 - 734 (8page)

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Background/Aims: Bile leak is a common complication of cholecystectomy, and it is also observed in other conditions suchas ruptured liver abscess, hydatid cyst, and trauma. Endoscopic retrograde cholangiopancreatography (ERCP) is the first-linemanagement for such conditions. However, studies on the outcomes of endoscopic management for bile leaks with etiologies otherthan post-cholecystectomy injury are extremely limited. Methods: We conducted a retrospective review of patients with symptomatic bile leak who were referred to a tertiary care centerand who underwent ERCP between April 2016 and April 2019. The primary outcome was complete symptomatic resolution withoutextravasation of the contrast medium during the second ERCP conducted after 6 weeks. Results: In total, 71 patients presented with symptomatic bile leak. The etiologies of bile leak were post-cholecystectomy injury in34 (47.8%), liver abscess in 20 (28.1%), and post-hydatid cyst surgery in 11 (15.4%) patients. All patients were managed with ERCP,sphincterotomy, and stent placement for 6 weeks, except for one who underwent surgery. The primary outcome was achieved in 65(91.5%) of 71 patients. There was no significant difference in terms of outcome in relation to the interval between the diagnosis ofbile leak and ERCP. Conclusions: Most patients with bile leak can be successfully managed with ERCP even when performed on an elective basis.

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