title: Endoscopic management of laparoscopic cholecystectomy-associated bile duct injuries.
abstract: OBJECTIVE
  The efficacy of the endoscopic management of laparoscopic cholecystectomy (LC)-associated bile duct injuries is unclear because few studies on the issue report methods matched to injury type or long-term follow-up data.
  
  
  METHODS
  Records from our institution's 11-year experience with the endoscopic management of LC-associated bile duct injuries were reviewed. Leakage was managed with a 5- to 7F endoscopic nasobiliary drainage (ENBD) tube for 1 week without endoscopic sphincterotomy (EST). Stricture was managed with the placement of a single 7F plastic stent for 1-2 months without EST.
  
  
  RESULTS
  Fifteen cases were experienced. Of the 11 cases (77.8%) of leakage, 7 improved clinically and on imaging after ENBD, 2 did not resolve until after the placement of a single plastic 7F stent for several more days, and 2 others with leakage and high risk for accidental ENBD removal improved after the placement of a single 7F stent. All 4 cases of stricture resolved completely after the placement of a single 7F stent. There were no severe complications of the endoscopic procedure. At long-term follow-up, no patient had recurrence of symptoms or complications on imaging.
  
  
  CONCLUSIONS
  ENBD for leakage and biliary stenting for strictures are safe and effective treatments for these LC-associated injuries.
authors.affiliation: Center for Gastroenterology, Teine-Keijinkai Hospital, 1-jo 12-chome, Maeda, Teine-ku, Sapporo 006-8555, Japan. tamaki_ichiya@yahoo.co.jp
authors.forename: Tamaki
authors.initials: T
authors.lastname: Ichiya
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Maguchi
authors.forename: Kuniyuki
authors.initials: K
authors.lastname: Takahashi
authors.forename: Akio
authors.initials: A
authors.lastname: Katanuma
authors.forename: Manabu
authors.initials: M
authors.lastname: Osanai
authors.forename: Toshifumi
authors.initials: T
authors.lastname: Kin
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001652:Bile Ducts / Q000293:injuries* / Q000601:surgery*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D004322:Drainage / Q000379:methods; D016099:Endoscopy, Gastrointestinal; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008875:Middle Aged; D015607:Stents; D016896:Treatment Outcome