ERCP for the Treatment of Bile Leak After Partial Hepatectomy and Fenestration for Symptomatic Polycystic Liver Disease

Overview

Journal World J Gastroenterol

Publisher Baishideng Publishing Group

Specialty Gastroenterology

Date 2012 Aug 2

PMID 22851862

Citations 4

Authors

Nayantara Coelho-Prabhu

David M Nagorney

Todd H Baron

Affiliations

Soon will be listed here.

Abstract

Aim: To describe endoscopic treatment of bile leaks in these patients and to identify risk factors in these patients which can predict the development of bile leaks.

Methods: Retrospective case-control study examining consecutive patients who underwent partial hepatectomy for polycystic liver disease (PLD) and developed a postoperative bile leak managed endoscopically over a ten year period. Each case was matched with two controls with PLD who did not develop a postoperative bile leak.

Results: Ten cases underwent partial hepatectomy with fenestration for symptoms including abdominal distention, pain and nausea. Endoscopic retrograde cholangiopancreatography (ERCP) showed anatomic abnormalities in 1 case. A biliary sphincterotomy was performed in 4 cases. A plastic biliary stent was placed with the proximal end at the site of the leak in 9 cases; in 1 case two stents were placed. The overall success rate of ERCP to manage the leak was 90%. There were no significant differences in age, gender, comorbidities, duration of symptoms, history of previous surgery or type of surgery performed between cases and controls.

Conclusion: ERCP with stent placement is safe and effective for management of post-hepatectomy bile leak in patients with PLD.

Citing Articles

Prevention of bile duct injury using indocyanine green fluorescence in laparoscopic liver cyst fenestration for giant liver cyst: a case report.

Shimagaki T, Itoh S, Toshida K, Tomiyama T, Morinaga A, Kosai Y J Surg Case Rep. 2022; 2022(10):rjac479.

PMID: 36285169 PMC: 9581503. DOI: 10.1093/jscr/rjac479.

Avoidance of bile duct injury during laparoscopic liver cyst fenestration using indocyanine green: A case report.

Hanaki T, Yagyu T, Uchinaka E, Morimoto M, Watanabe J, Tokuyasu N Clin Case Rep. 2020; 8(8):1419-1424.

PMID: 32884766 PMC: 7455442. DOI: 10.1002/ccr3.2840.

Laparoscopic deroofing for polycystic liver disease using laparoscopic fusion indocyanine green fluorescence imaging.

Tanaka M, Inoue Y, Mise Y, Ishizawa T, Arita J, Takahashi Y Surg Endosc. 2015; 30(6):2620-3.

PMID: 26416378 DOI: 10.1007/s00464-015-4526-x.

Diagnosis and management of polycystic liver disease.

Gevers T, Drenth J Nat Rev Gastroenterol Hepatol. 2013; 10(2):101-8.

PMID: 23296249 DOI: 10.1038/nrgastro.2012.254.

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