Iatrogenic hemobilia: how to approach it.
Hemobilia after surgical or non-surgical interventions on the liver, biliary tree and pancreas is a serious postoperative complication. Two different therapeutic approaches i.e. superselective hepatic artery embolization and surgical management were retrospectively evaluated in a group of 19 patients. Superselective embolization showed a lower mortality and morbidity than did surgery. Superselective embolization resulted in a higher success rate in terms of control of bleeding and identification of the origin of the bleed.
Lygidakis
N J
NJ
Department of Surgery, Academic Medical Center, University of Amsterdam, The Netherlands.
Okazaki
M
M
Damtsios
G
G
D000328:Adult; D000368:Aged; D004621:Embolization, Therapeutic; D005260:Female; D006431:Hemobilia / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*; D006499:Hepatic Artery; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology / Q000628:therapy; D012086:Reoperation; D012189:Retrospective Studies