ERCP in the management of biliary complications after cholecystectomy.
Open cholecystectomy has been associated historically with 0.2% to 0.5% risk of postoperative biliary injury. Laparoscopic cholecystectomy, which has become the first-line surgical treatment of calculous gallbladder disease, has been associated with a 2.5-fold to fourfold increase in the incidence of postoperative bile duct injury. The biliary endoscopist can expect to see a varied spectrum of complications after cholecystectomy by either technique, including postoperative biliary strictures, bile leaks, and retained calculi in the biliary tree. Proper diagnosis and treatment are paramount in ensuring a satisfactory outcome after bile duct injury. Endoscopic retrograde cholangiopancreatography (ERCP) has become the primary modality for treatment and effectively manages most bile duct injuries.
Pawa
Swati
S
Georgetown University Hospital, Washington, DC 20007, USA.
Al-Kawas
Firas H
FH
D001652:Bile Ducts / Q000293:injuries*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects* / Q000379:methods; D041761:Cholecystolithiasis / Q000601:surgery; D004322:Drainage / Q000379:methods; D006801:Humans; D011183:Postoperative Complications / Q000628:therapy*; D015607:Stents; D016896:Treatment Outcome