Combined use of choledochoscope and duodenoscope in treatment of bile peritonitis after removal of T-tube.
BACKGROUND
Biliary leakage after removal of a T-tube has significant morbidity and mortality. Its etiology is multifactorial. The treatment and outcome of this complication vary. In the present study we evaluated the procedures and efficacy of combined use of choledochoscope and duodenoscope in the treatment of bile peritonitis after T-tube removal.


METHODS
The procedures and results of 11 cases of biliary leakage after removal of T-tube who had been treated from January 1998 to June 2004 by combined use of choledochoscope and duodenoscope were analyzed retrospectively.


RESULTS
After the treatment, 9 patients were cured, and 2 were reoperated on and cured.


CONCLUSIONS
Biliary leakage after removal of T-tube can be cured successfully by combined use of choledochoscope and duodenoscope. Importantly, the method is simple, effective and safe, and mostly reoperation can be avoided.
Zhang
Guo-Qiang
GQ
Department of Hepatobiliary Surgery, People's Hospital of Zhoushan, Zhoushan 316000, China.
Zhang
Yu-Hui
YH
Shen
Chao-Min
CM
Liang
Jin-Rong
JR
D000368:Aged; D001662:Biliary Tract Surgical Procedures / Q000009:adverse effects*; D003135:Common Bile Duct / Q000601:surgery*; D020878:Device Removal / Q000009:adverse effects*; D020698:Duodenoscopes; D004384:Duodenoscopy / Q000379:methods*; D019723:Endoscopes; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000209:etiology / Q000628:therapy*