Abstract
Injury to the extrahepatic biliary tree is uncommon, but also deadly given adjacent anatomy. Cholecystectomy is indicated for all trauma to the gallbladder. Full thickness common bile duct injuries generally necessitate a Roux-en-Y hepaticojejunostomy in the stable patient, whereas very minor injuries can occasionally be treated with primary repair. All patients displaying physiologic extremis should undergo initial damage control resuscitation/surgery by arresting ongoing hemorrhage and controlling the biliary fistula with an appropriate modality of drainage. Chronic biliary stenoses are managed in a manner similar to patients with a delayed diagnosis of bile duct injury. This chapter will outline the evidence and rationale behind each of these subject areas.
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Ball, C.G. (2015). Traumatic Biliary Strictures. In: Dixon, E., Vollmer Jr., C., May, G. (eds) Management of Benign Biliary Stenosis and Injury. Springer, Cham. https://doi.org/10.1007/978-3-319-22273-8_12
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DOI: https://doi.org/10.1007/978-3-319-22273-8_12
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