title: Temporary placement of a newly designed, fully covered, self-expandable metal stent for refractory bile leaks.
abstract: Bile leaks remain a significant cause of morbidity for patients undergoing laparoscopic cholecystectomy. Leakage from an injured duct of Luschka (subvesical duct) follows the cystic duct as the most common cause of postcholecystectomy bile leaks. Although endoscopic sphincterotomy, plastic-stent placement, or nasobiliary-drain placement are effective in healing biliary leaks, in patients in whom leakage persists and the symptoms worsen despite conventional endoscopic treatment, re-exploration with laparoscopy and ligation of the injured subvesical duct should be considered. We present herein the case of a 31-year-old woman with refractory bile leakage from a disrupted subvesical duct after cholecystectomy that could not be managed with endoscopic sphincterotomy and plastic-stent placement. A newly designed, fully covered, self-expandable metal stent (FC-SEMS) was successfully placed for the treatment of refractory bile leaks in this patient. It appears that temporary placement of an FC-SEMS is technically feasible and provides an effective alternative to surgical therapy for refractory bile leaks after cholecystectomy.
authors: Department of Gastroenterology, Ajou University School of Medicine, Suwon, Korea.
authors: Jae Chul
authors: JC
authors: Hwang
authors: Jin Hong
authors: JH
authors: Kim
authors: Byung Moo
authors: BM
authors: Yoo
authors: Sun-Gyo
authors: SG
authors: Lim
authors: Jin Hun
authors: JH
authors: Kim
authors: Wook Hwan
authors: WH
authors: Kim
authors: Myung Wook
authors: MW
authors: Kim