[Diagnosis of biliary leakage after laparoscopic cholecystectomy in aspect of indication to endoscopic treatment].
Clinically significant biliary leak (BL) following laparoscopic cholecystectomy (LCH) occurs in fewer than 5% patients, nevertheless, due to nonspecific symptoms and low diagnostic accuracy in commonly available imaging modalities, may constitute a diagnostic problem. Penetration of pure bile to peritoneal cavity does not product specific symptoms and signs and can be detected by sonography only in 58% patients. In addition, distinguishing between bile and other fluid is possible only by cholescintigraphy (CS). Thus, accurate diagnosis in early postoperative period may be difficult and may delay adequate treatment. Because of that, despite the current tendency to avoid drainage after elective LCH, it appears to be a simple method for early detection of the above pathology and determining of need for endoscopic retrograde cholangiopancreatography (ERCP).
Jamry
Andrzej
A
District Hospital in Starachowice, Endoscopic Department, Poland. jamry@tlen.pl
D001646:Bile / Q000000981:diagnostic imaging*; D001660:Biliary Tract Diseases / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D001826:Body Fluids / Q000000981:diagnostic imaging; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D004322:Drainage; D006801:Humans; D011877:Radionuclide Imaging; D014463:Ultrasonography