[Management for hemobilia after hepatobiliary surgery].
OBJECTIVE
To investigated the diagnosis and treatment for hemobilia after hepatobiliary surgery.


METHODS
The data were collected from 21 patients with postoperative hemobilia treated in our hospital from October 1989. The data from patients including age, with or without hypertension history, operation procedure, bleeding time after operation, clinical manifestation, diagnosis method, hepatic artery embolization and operative management were analyzed to summarize the clinical treatment hemobilia.


RESULTS
There were 13 men and 8 women. Twelve patients had hypertension history. Sixteen patients were underwent with emergency hepatic artery angiography and were treated with hepatic artery embolization, the other five cases were managed directly by operation. In the operation group, 2 patients were under gone two times operative management respectively. The effectiveness of operation for all patients was good and without rebleeding.


CONCLUSIONS
Emergency hepatic artery angiography and embolization as a first diagnosis procedure and minimally invasive treatment should be the first and safe selection for all hemobilia.
Jiang
Kai
K
Department of Hepatobiliary Surgery, the General Hospital of People's Liberation Army, Beijing 100853, China. kaijiang@public.bta.net.cn
Zhou
Ning-xin
NX
Huang
Zhi-qiang
ZQ
Huang
Xiao-qiang
XQ
Liu
Rong
R
Zhang
Wen-zhi
WZ
Wang
Mao-qiang
MQ
D000328:Adult; D000368:Aged; D001662:Biliary Tract Surgical Procedures / Q000009:adverse effects*; D004621:Embolization, Therapeutic; D005260:Female; D006431:Hemobilia / Q000628:therapy*; D006499:Hepatic Artery / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000628:therapy*; D011859:Radiography