Abstract

Diagnóstico y manejo endoscópico de las complicaciones biliares postoperatorias. Rev Col Gastroenterol [online]. 2004, vol.19, n.2, pp.94-99. ISSN 0120-9957.

The successful management of post operative biliary complications requires a multidisciplinary team including endoscopists, interventional radiologists and surgeons. The patient approach depends on the type and length of the lesion, the presence of bile collections and the time of the diagnosis. The post cholecystectomy lesions involve more than 65% of biliary stenosis sent to endoscopic therapy, and the combination of cholecystectomy and common bile duct exploration adds another 24%. The biliary injuries related to other procedures (biliodigestive anastomosis, gastrectomy, partial hepatic resection and cholecystostomy) add a few more cases. The outcome of endoscopic therapy for main biliary tract lesions in selected patients is at least comparable with surgery. For many patients, the endoscopic therapy might be the only procedure required.

Keywords : Post operative biliary complications; endoscopic therapy.

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