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Sauer, P; Schaible, A; Sterkenburg, AS; Schemmer, P.
Management of bile duct injuries. Surgery or endoscopic intervention
GASTROENTEROLOGE. 2016; 11(4): 295-302.
Doi: 10.1007/s11377-016-0078-4
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- Co-authors Med Uni Graz
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Schemmer Peter
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- Abstract:
- Biliary tree injuries have been observed after abdominal trauma, as a postoperative complication following cholecystectomy, liver resection or transplantation, and as a complication of endoscopic retrograde cholangiopancreatography (ERCP). Clinical presentation is highly variable depending on the severity of injury from detection of fluid collection in an asymptomatic patient to life-threatening sepsis. Standard endoscopic procedures show therapeutic success in the majority of intra-and extrahepatic biliary lesions. If standard treatment fails or ductal injury appears too serious, temporary placement of covered metal stents becomes more important. In cases of severe abdominal trauma or in a few instances in which significant bile duct injury is not accessible or not controlled by endoscopic or interventional means, surgical revision is required.
- Find related publications in this database (Keywords)
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Bile ducts
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Cholecystectomy
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Liver
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Pancreatectomy
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ERCP