Within the first 48 h of bile duct injury (BDI), patients often show only mild nonspecific symptoms of nausea and abdominal discomfort. High clinical suspicion of these patient symptoms is necessary to achieve early diagnosis. Work-up should include imaging to assess for intra-abdominal fluid ...
Invited Commentary on Management of Bile Duct Injury Detected in the Post-Operative Period Dirk J. Gouma Academic Medical Center, Amsterdam, The Netherlands Dirk J. Gouma A bile duct injury (BDI) is one of the most dramatic complications during cholecystectomy and adequate management is crucial ...
Objective To explore the reasons and prevention and treatment of duodenal injury in the biliary operations. 目的 探讨胆道手术中十二指肠损伤的原因及防治方法。 更多例句>> 补充资料:即时通信 即时通信(IM)是指能够即时发送和接收互联网消息等的业务。自1998年面世以来,特别是近几年的迅速发展,即时通信的功能...
Laparoscopic cholecystectomy is the standard of care for symptomatic cholelithiasis, but it is associated with a higher incidence of bile duct injury (BDI) than the open approach. BDI can lead to mortality, significant morbidity and impaired quality of life. Immediate management of BDI recognized dur...
Of 137 injuries, 88 were open and 49 were laparoscopic. Various presentations include acute bile duct injury ( n =5), bile collection ( n =45), external biliary fistula ( n =46) and stricture ( n =41). After initial management, three patients died (sepsis, n =2; pseudoaneurysmal ...
While bile peritonitis after PCNL is rare, it should always be kept in mind. Injury to the biliary tract should be sus- pected in patients who develop abdominal pain, perito- neal signs or any component of systemic inflammatory response syndrome (SIRS) post operatively. Aspiration...
Bile duct injuryLaparoscopic cholecystectomyEmergency management of BDIThis study reviews bile duct injuries (BDI) most commonly found in our setup and a novel technique of endobiliary stent usage for management in emergency situations leading to significantly less morbidity and mortality. A total of ...
The ESGE recommends insertion of a plastic stent for 4 to 8 weeks without routine sphincterotomy. For complete circumferential injuries, hepaticojejunostomy is usually necessary. In conclusion, adequate training of surgeons is essential for prevention since the incidence of bile duct injury decreases ...
Bile Duct Injury—from Injury to Repair: an Analysis of Management and Outcome Despite advances in speciality care, mortality and morbidity remain the most important issues in the management of post-cholecystectomy bile duct injuries... PK Mishra,SS Saluja,M Nayeem,... - 《Indian Journal of Sur...
Bile duct injury during cholecystectomy is frequently unrecognized at the time of operation. This series indicates that the reconstruction is usually unsuccessful even when the injury is recognized and repair is attempted at the initial operation. Clinically evident jaundice three to seven days after ope...