[Endoscopic treatment of bile leakage after laparoscopic cholecystectomy].
BACKGROUND
Bile leaks are typical complications following LCHE. By ERC localisation and nature of the leak can be documented and therapy is possible in the same session. The aim is reduction of intraluminal bile pressure.


METHODS
1799 LCHE were followed by 34 bile leaks. 2 common duct injuries and a duodenal perforation had surgical revisions. 31 patients had endoscopic therapy only (stent +/- EST). Bile secretion stopped 3.2 days later. Stentextraction/documentation of closure of the fistula 7 weeks later. COMPLICATION/LETHALITY: 1 Stentdislocation. Lethality: 0.


CONCLUSIONS
ERC allows diagnosis and therapy of bile leaks by common duct stenting. Laparoscopic or surgical reintervention is not necessary.
Heinerman
P M
PM
Abteilung für Interventionelle und Laserendoskopie, Landeskliniken Salzburg, Müllner Hauptstrasse 48, 5020 Salzburg, Osterreich.
D000368:Aged; D001658:Biliary Fistula / Q000209:etiology / Q000601:surgery*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D012086:Reoperation