Abstract
Endoscopic retrograde cholangiopancreatography with biliary drainage is an effective therapeutic tool in the management of bile duct injuries associated with laparoscopic cholecystectomy. Placement of a stent or a nasobiliary drain in the common bile duct, or biliary sphincterotomy, is an effective treatment for bile leaks and obviates the need for otherwise complex biliary tract surgery. Although there are no controlled comparative trials, placement of a 7-, 8.5-, or 10-Fr biliary stent without sphincterotomy may cause the least morbidity and be the most comfortable nonoperative management option. We report a child who presented with a bile leak that occurred after laparoscopic cholecystectomy and was successfully treated with the placement of a biliary stent without sphincterotomy. To our knowledge, this is the second pediatric case of a bile leak successfully treated by endoprosthesis placement without sphincterotomy.
References
DP Adams MR Borowicz FT Wooton JT Cunningham (1993) ArticleTitleBile duct complications after laparoscopic cholecystectomy. Surg Endosc 7 79–83 Occurrence Handle1:STN:280:ByyB3cnitVA%3D Occurrence Handle8456373
J Baillie (1999) ArticleTitleBiliary sphincterotomy: less benign than once throught? Curr Gastroenterol Rep 1 102–106 Occurrence Handle1:STN:280:DC%2BD3M%2Fis1OqtA%3D%3D Occurrence Handle10980935
RJ Barton GSR Russell WRA Hatfield (1995) ArticleTitleManagement of bile leaks after laparoscopic cholecystectomy. Br J Surg 8 980–984
RW Brenner CF Stewart (1964) ArticleTitleCholecystitis in children. Rev Surg 21 327–331 Occurrence Handle1:STN:280:CCqD3MfhvF0%3D Occurrence Handle14213807
S Chow JJ Bosco FW Heiss JA Shea T Qaseem D Howell (1997) ArticleTitleSuccessful treatment of post-cholecystectomy bile leaks using nasobiliary tube drainage and sphincterotomy. Am J Gastroenterol 92 1839–843 Occurrence Handle1:STN:280:DyaK1c%2FisFOmuw%3D%3D Occurrence Handle9382048
PHP Dands AE Rauws JNG Tytgat K Huibregtse (1992) ArticleTitlePostoperative bile leakage: endoscopic management. Gut 33 1118–1122 Occurrence Handle1398239
PHR Davids J Ringers EAJ Rauws LT de Wit K Huibregste MM van der Heyde GNJ Tytgat (1993) ArticleTitleBile duct injury after laparoscopic cholecystectomy: the value of endoscopic retrograde cholangiopancreatography. Gut 34 1250–1254 Occurrence Handle1:STN:280:ByuD3M%2Fksl0%3D Occurrence Handle8406163
DJ Deziel KW Millikan SG Economou SG Doolas . Ko Sung-Tao MC Airan (1993) ArticleTitleComplications of laparoscopic cholecystectomy. A national survey of 4,292 hospitals and an analysis of 77,604 cases. Am J Surg 165 9–12 Occurrence Handle1:STN:280:ByyC3MfosVM%3D Occurrence Handle8418705
M El-Youssef WG Parson PF Whitington (1999) ArticleTitleEndoscopic retrograde cholangiopancreatography and endobiliary stenting for the treatment of a bile leak in a child. J Pediatr Gastroenterol Nutr 29 350–353 Occurrence Handle10.1097/00005176-199909000-00021 Occurrence Handle1:STN:280:DyaK1Mzps1Srsw%3D%3D Occurrence Handle10468005
L Garel D Lallemand JP Montagne (1981) ArticleTitleThe changing aspects of cholelithiasis in children through a sonographic study. Pediatr Radiol 11 75–79 Occurrence Handle1:STN:280:Bi2D2MbitFI%3D Occurrence Handle7301449
CG Gihahremani (1997) ArticleTitlePostsurgical biliary tract complications. Gastroenterologist 5 46–57 Occurrence Handle9074919
JR Lily (1980) ArticleTitleCommon bile duct calculi in infants and children. J Pediatric Surg 15 577–580
J Mortensen A Kruse (1992) ArticleTitleEndoscopic management of postoperative bile leaks. Br J Surg 79 1339–1341 Occurrence Handle1:STN:280:ByyC3snpsFY%3D Occurrence Handle1486434
U Poddar BR Thapa DK Bhasin A Prasad B Nagi K Singh (2001) ArticleTitleEndoscopic retrograde cholangiopancreatography in the management of pancreaticobiliary disorders in children. J Gastroenterol Hepatol 16 927–931 Occurrence Handle10.1046/j.1440-1746.2001.02545.x Occurrence Handle1:STN:280:DC%2BD3MrgslShug%3D%3D Occurrence Handle11555109
F Prat G Pelletier T Ponchon J Fritsch J Meduri Boyer B Person JF Bretagne (1997) ArticleTitleWhat role can endoscopy play in the management of biliary complications after laparoscopic cholecystectomy? Endoscopy 29 341–348 Occurrence Handle1:STN:280:ByiH3Mnps1A%3D Occurrence Handle9270913
I Raijman FM Catalano SG Hirsch B MacFadyen AT Broughan SR Chung VM Sivak (1994) ArticleTitleEndoscopic treatment of biliary leakage after laparoscopic cholecystectomy. Endoscopy 26 741–744 Occurrence Handle1:STN:280:ByqB38flslM%3D Occurrence Handle7712968
PJ Shaw L Spitz JG Watson (1984) ArticleTitleExtrahepatic biliay obstruction due to stone. Arch Dis Child 59 896–897 Occurrence Handle1:STN:280:BiqD387lsVY%3D Occurrence Handle6385869
SG Sheth DA Howell (2002) ArticleTitleWhat are really the true late complications of endoscopic biliary sphincterotomy? Am J Gastroenterol 97 2763–2767 Occurrence Handle10.1016/S0002-9270(02)05468-0 Occurrence Handle12425545
InstitutionalAuthorNameSouthern Club Surgeons (1991) ArticleTitleA prospective analysis of 1,518 laparoscopic cholecystectomies. N Engl J Med 324 1073–1078 Occurrence Handle1826143
PR Tarnasky TJ Cunningham HR Hawes JB Hoffman R Uflacker I Vujic BP Cotton (1997) ArticleTitleTranspapillary stenting of proximal biliary strictures: does biliary sphincterotomy reduce the risk of postprocedure pancreatitis. Gastrointest Endosc 45 10–12 Occurrence Handle9013163
MS Woods LW Traverso RA Kozarek J Tsao RL Rossi D Gough J Donohue (1994) ArticleTitleCharacteristics of biliary tract complications during laparoscopic cholecystectomy: a multi-institutional study. Am J Surg 167 27–32 Occurrence Handle1:STN:280:ByuC2cvntFY%3D Occurrence Handle8311137
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Katsinelos, P., Paroutoglou, G., Beltsis, A. et al. Endobiliary endoprosthesis without sphincterotomy for the treatment of biliary leakage . Surg Endosc 18, 165–166 (2004). https://doi.org/10.1007/s00464-003-4251-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00464-003-4251-8