Endoscopic resolution of refractory postoperative bile leak from bile duct with fully covered self-expandable metallic stent

Česká verzia

Authors: E. Veseliny ¹; J. Radoňak ²; M. Zakuciová ¹; M. Janičko ¹; P. Jarčuška ¹
Authors place of work: I. interná klinika LF UPJŠ a UN L. Pasteura, Košice ¹; I. chirurgická klinika LF UPJŠ a UN L. Pasteura, Košice ²
Published in the journal: Gastroent Hepatol 2013; 67(6): 468-473
Category: Digestive Endoscopy: Case Report

Summary

The role of endoscopic therapy in the treatment of bile leaks is well established. Therapeutic endoscopic retrograde cholangiography with biliary sphincterotomy, placement of a transpapillary plastic biliary stent, or a combination of biliary sphincterotomy and stenting has become the first-line intervention in the treatment of a bile leak. For high-grade bile leaks, sphincterotomy alone has been shown to be less effective than transpapillary biliary stenting, and combined biliary sphincterotomy and transpapillary stenting is preferable in such situations. We present a clinical case of a 56-year-old woman with bile leak after open cholecystectomy and choledochotomy for cholecystolithiasis and choledocholithiasis with stenotic distal common bile duct due to chronic calcifying pancreatitis, in whom previous transpapillary insertion of plastic stent was not succesfull, but following temporary transpapillary insertion of fully covered self-expandable metallic biliary stent led to closure of a refractory bile leak.

Key words:
bile leak – biliary fully covered self-expandable metallic stent – endoscopic retrograde cholangiopancreatography – choledochotomy

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

Redakční rada potvrzuje, že rukopis práce splnil ICMJE kritéria pro publikace zasílané do biomedicínských časopisů.

The Editorial Board declares that the manuscript met the ICMJE „uniform requirements“ for biomedical papers.

Submitted:
9. 7. 2013

Accepted:
6. 10. 2013

Zdroje

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