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The Endoscopic Management of Biliary and Pancreatic Injury

  • Matthew J. Hudson
  • Raymond G. Kim
  • Eric GoldbergEmail author
Chapter

Abstract

Pancreaticobiliary injuries are frequently encountered by interventional endoscopists and are a common cause of morbidity and even mortality. They are seen postoperatively after cholecystectomy, liver transplantation, pancreatectomy, and splenectomy. They may also result from blunt and penetrating trauma, and may even be related to gastrointestinal interventions like ERCP or liver biopsy. Early recognition and a multidisciplinary approach to treatment are crucial to limit systemic effects of the injury and prevent associated morbidity. Principles of therapy are often similar whether the injury is iatrogenic or traumatic. This chapter focuses on the endoscopic management of these biliary and pancreatic injuries rather than stone disease or neoplastic processes.

Keywords

Bile leak Liver transplantation Cholecystectomy Pancreatic duct disruption ERCP (Endoscopic retrograde cholangiopancreatography) Endoscopic stenting Pancreaticobiliary trauma Pancreatic leak 

Supplementary material

Video 5.1

Bile leak from the right intrahepatic bile system. The leak was treated with a biliary sphincterotomy and stent placement. (225,012 KB)

Video 5.2

Post liver transplant anastomotic stricture immediately distal to the bifurcation. The stricture was treated with balloon dilations and two traversing bile duct stents into the left and right hepatic ducts. (187,665)

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Matthew J. Hudson
    • 1
  • Raymond G. Kim
    • 2
  • Eric Goldberg
    • 3
    Email author
  1. 1.Gastroenterology and HepatologyBuffalo General Medical CenterBuffaloUSA
  2. 2.Gastroenterology and HepatologyUniversity of Maryland Medical CenterBaltimoreUSA
  3. 3.Gastroenterology and Hepatology,University of Maryland, School of MedicineBaltimoreUSA

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