title: [Biliary fistulas and biliary congestion after hepatopancreaticobiliary surgery].
abstract: Biliary complications after hepatopancreaticobiliary surgery can have severe consequences for the long-term quality of life of patients. Adequate and timely diagnosis of the underlying problem by an experienced surgeon is essential. Ultrasonography, computed tomography, contrast-enhanced fluoroscopy of drains and endoscopic retrograde cholangiopancreatography (ERCP) are helpful examinations that can be employed in a step-wise approach. Early re-do surgery is indicated in the initial postoperative course. Interventional methods, such as ERCP and percutaneous transhepatic cholangiodrainage ( PTCD, plus stents and drains) offer a variety of additional therapeutic options that should be used by the experienced interventionalist in a patient-tailored interdisciplinary fashion.
authors.affiliation: Klinik und Poliklinik für Chirurgie, Universitätsklinikum Regensburg, 93042, Regensburg, Deutschland, marc.dahlke@ukr.de.
authors.forename: M-H
authors.initials: MH
authors.lastname: Dahlke
authors.forename: M
authors.initials: M
authors.lastname: Loss
authors.forename: H J
authors.initials: HJ
authors.lastname: Schlitt
mesh_terms: D001658:Biliary Fistula / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D002779:Cholestasis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D013505:Digestive System Surgical Procedures / Q000009:adverse effects*; D042241:Early Diagnosis; D006801:Humans; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D011379:Prognosis