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European Society of Gastrointestinal Endoscopy on Bile Duct Injuries

Received: 4 November 2014     Accepted: 17 November 2014     Published: 20 November 2014
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Abstract

The aim of this article is to describe the pathophysiology, diagnosis, classification, and management of BDI based on the relevant available literature, in particular the recent recommendations from the European Society of Gastrointestinal Endoscopy (ESGE). It is a known fact that bile duct injuries (BDI) are associated with a high morbidity and mortality, posing impaired quality of life along with substantial financial burdens to patients and the society in general. Depending on the type of duct injury, successful management is based upon the time of recognition of injury, patient condition, presence of complications and availability of professional expertise (radiologists, endoscopists and hepato-biliary surgeons). Appropriate management may include endoscopic, per-cutaneous and surgical interventions with imaging playing a significant role in initial diagnosis, assessment and treatment of such injuries.

Published in Journal of Surgery (Volume 2, Issue 6)
DOI 10.11648/j.js.20140206.11
Page(s) 82-87
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Injury, Leak, Bile Duct, Cholecystectomy, Drainage, Endoscopic Management, Stent

References
[1] Flum DR, Cheadle A, Prela C, Dellinger EP, Chan L. Bile duct injury during cholecystectomy and survival in Medicare beneficiaries. JAMA 2003; 290 (16):2168–2173.
[2] Lau WY, Lai EC, Lau SH. Management of bile duct injury after laparoscopic cholecystectomy: a review. ANZ J Surg 2010; 80(1-2):75–81.
[3] Dumonceau JM, Tringali A, Blero D, et al. Biliary stenting: indications, choice of stents and results: European Society of Gastrointestinal Endoscopy (ESGE) clinical guideline. Endoscopy 2012; 44:277—98.
[4] Adamsen S, Hansen OH, Funch-Jensen P, Schulze S, Stage JG, Wara P. Bile duct injury during laparoscopic cholecystectomy: a prospective nationwide series. J. Am. Coll. Surg. 1997; 184: 571–8.
[5] Lai EC, Lau WY. Mirizzi syndrome: history, present and future development. ANZ J Surg 2006; 76: 251–7.
[6] Joseph M, Phillips MR, Farrell TM, Rupp CC. Single incision laparoscopic cholecystectomy is associated with a higher bile duct injury rate: a review and a word of caution. Ann Surg2012; 256(1):1—6.
[7] Parmeggiani D, Cimmino G, Cerbone D, et al. Biliary tract injuries during laparoscopic cholecystectomy: three casereports and literature review. G Chir 2010; 31:16—9.
[8] Southern surgeons group. A prospective analysis of 1518 laparoscopic cholecystectomies. The Southern Surgeons Club. N Engl J Med 1991; 324:1073—8.
[9] Georgiades CP, Mavromatis TN, Kourlaba GC, et al. Isinflammation a significant predictor of bile duct injuryduring laparoscopic cholecystectomy? Surg Endosc 2008; 22:1959—64.
[10] Nuzzo G, Giuliante F, Persiani R. The risk of biliary ductal injury during laparoscopic cholecystectomy. J Chir (Paris) 2004; 141:343—53.
[11] Karvonen J, Gullichsen R, Laine S, Salminen P, Grönroos JM. Bileduct injuries during laparoscopic cholecystectomy: primaryand long-term results from a single institution. Surg Endosc2007; 21:1069-73.
[12] Davidoff AM, Pappas TN, Murray EA, et al. Mechanisms of major biliary injury during laparoscopic cholecystectomy. Ann Surg 1992; 215:196—202.
[13] Richardson MC, Bell G, Fullarton GM, West of Scotland Laparo- scopic Cholecystectomy Audit Group. Incidence and nature of bile duct injuries following laparoscopic cholecystectomy: an audit of 5913 cases. Br J Surg 1996; 83:1356—60.
[14] Balija M, Huis M, Szerda F, Bubnjar J, Stulhofer M. Laparoscopic cholecystectomy–accessory bile ducts. Acta Med Croatica 2003; 57:105—9.
[15] Greif F, Bronsther OL, Van Thiel DH, et al. The incidence, timing, and management of biliary tract complications after ortho topic liver transplantation. Ann Surg 1994; 219:40—5.
[16] O’Connor TP, Lewis WD, Jenkins RL. Biliary tract complications after liver transplantation. Arch Surg 1995; 130:312—7.
[17] Riediger C, Müller MW, Michalski CW, et al. T-tube or no T-tube in the reconstruction of the biliary tract during orthotopic liver transplantation: systematic review and meta-analysis. Liver Transpl 2010; 16:705—17.
[18] Sawaya Jr DE, Johnson LW, Sittig K, McDonald JC, Zibari GB. Iatrogenic and non-iatrogenic extra-hepatic biliary tract injuries: a multi-institutional review. Am Surg 2001; 67:473—7.
[19] D’Amata G, Rahili A, Habre J, Karimd jee B, Sanchez Bueno F, Bourgeon A. Traumatic avulsion of the intrapancreatic common bile duct: case report. G Chir 2006; 27:27—30.
[20] Maier WP, Lightfoot WP, Rosemond GP. Extra hepatic biliary ductal injury in closed trauma. Am J Surg 1968; 116:103—8.
[21] Lau WY, Lai EC, Lau SH. Management of bile duct injury after laparoscopic cholecystectomy: a review. ANZ J Surg 2010; 80(1-2):75–81.
[22] Flum DR, Dellinger EP, Cheadle A, Chan L, Koepsell T. Intra operative cholangiography and risk of common bile duct injury during cholecystectomy. JAMA 2003;289:1639—44.
[23] Iorga C, Cirimbei S, Strambu V, Popa F.Intraoperative cholangiography still a current investigation. Journal of Medicine and Life Vol. 6, Issue 4, October-December 2013, pp.399-402.
[24] Flum DR, Dellinger EP, Cheadle A, Chan L, Koepsell T. Intra operative cholangiography and risk of common bile duct injury during cholecystectomy. JAMA 2003; 289:1639—44.
[25] Ausania F, Holmes LR, Ausania F, Iype S, Ricci P, White SA. Intraoperative cholangiography in the laparoscopic cholecystectomy era: why are we still debating? Surg Endosc 2012; 26:1193—200.
[26] El-labban G, Hokkam E, El-labban M, Saber A, Heissam K, El-Kammash S. Laparoscopic elective cholecystectomy with and without drain: a controlled randomised trial. J Minim Access Surg 2012; 8:90—2.
[27] Tzovaras G, Liakou P, Fafoulakis F, Baloyiannis I, ZacharoulisD, Hatzitheofilou C. Is there a role for drain use in electivelaparoscopic cholecystectomy? A controlled randomized trial.Am J Surg 2009; 197:759—63.
[28] Connor S, Garden OJ. Bile duct injury in the era of laparoscopic cholecystectomy. Br J Surg 2006; 93(2):158–168.
[29] Lee CM, Stewart L, Way LW. Post cholecystectomy abdominal bile collections. Arch Surg 2000; 135(5):538–542.
[30] Bauer TW, Morris JB, Lowenstein A, Wolferth C, Rosato FE, Rosato EF. The consequences of a major bile duct injury during laparoscopic cholecystectomy. J Gastro intest Surg 1998; 2(1):61–66.
[31] Wan Yee Lau, Eric C. H. Lai and Stephanie H. Y. Lau. Management of bile duct injury after laparoscopic cholecystectomy: a review. ANZ J Surg 80 (2010) 75–81
[32] Colin M. Thompson, Nael E. Saad, Robin R. Quazi, Michael D. Darcy, Daniel D. Picus, Christine O. Menias, Management of Iatrogenic Bile Duct Injuries: Role of the Interventional Radiologist. RadioGraphics 2013; 33:117–134
[33] Parks RW, Diamond T. Non-surgical trauma to the extra hepatic biliary tract. Br J Surg 1995; 82:1303—10.
[34] Ivatury RR, Rohman M, Nallathambi M, Rao PM, Gunduz Y, Stahl WM. The morbidity of injuries of the extra-hepatic biliary sys-tem. J Trauma 1985; 25:967—73.
[35] Bismuth H, Majno PE. Biliary strictures: classification basedon the principles of surgical treatment. World J Surg2001; 25:1241—4.
[36] McMahon AJ, Fullarton G, Baxter JN, O’Dwyer PJ. Bile duct injury and bile leakage in laparoscopic cholecystectomy. Br JSurg 1995; 82:307—13.
[37] Strasberg SM, Hertl M, Soper NJ. An analysis of the problem of biliary injury during laparoscopic cholecystectomy. J Am CollSurg 1995; 180:101—25.
[38] M. Pioche, T. Ponchonom. REVIEW; Management of bile duct leaks. Journal of Visceral Surgery (2013) 150S, S33—S38
[39] Dumonceau JM, Tringali A, Blero D, et al. Biliary stenting: indications, choice of stents and results: European Society of Gastrointestinal Endoscopy (ESGE) clinical guideline. Endoscopy 2012; 44:277-98.
[40] Sugiyama M, Atomi Y. Risk factors predictive of late complications after endoscopic sphincterotomy for bile duct stones: long-term (more than 10 years) follow-up study. Am JGastroenterol 2002; 97:2763-7.
[41] Sandha GS, Bourke MJ, Haber GB, Kortan PP. Endoscopic therapy for bile leak based on a new classification: results in207 patients. Gastrointest Endosc 2004; 60:567-74.
[42] Aksoz K, Unsal B, Yoruk G, et al. Endoscopic sphincterotomyalone in the management of low-grade biliary leaks due tocholecystectomy. Dig Endosc 2009; 21:158—61.
[43] Llach J, Bordas JM, Elizalde JI, et al. Sphincterotomy in the treatment of biliary leakage. Hepatogastroenterology2002; 49:1496—8.
[44] Marks JM, Ponsky JL, Shillingstad RB, Singh J. Biliary stenting ismore effective than sphincterotomy in the resolution of biliaryleaks. Surg Endosc 1998; 12:327—30.
[45] Coté GA, Ansstas M, Shah S, et al. Findings at endoscopic retrograde cholangio-pancreato-graphy after endoscopic treatment of post cholecystectomy bile leaks. Surg Endosc2010; 24:1752—6.
[46] Agarwal N, Sharma BC, Garg S, Kumar R, Sarin SK. Endo-scopic management of postoperative bile leaks. HBPD INT2006; 5:273—7.
Cite This Article
  • APA Style

    Syed Adnan Kabir, Syed Irfan Kabir, Roma Patel, Thomas Kallachil, Imran Inam. (2014). European Society of Gastrointestinal Endoscopy on Bile Duct Injuries. Journal of Surgery, 2(6), 82-87. https://doi.org/10.11648/j.js.20140206.11

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    ACS Style

    Syed Adnan Kabir; Syed Irfan Kabir; Roma Patel; Thomas Kallachil; Imran Inam. European Society of Gastrointestinal Endoscopy on Bile Duct Injuries. J. Surg. 2014, 2(6), 82-87. doi: 10.11648/j.js.20140206.11

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    AMA Style

    Syed Adnan Kabir, Syed Irfan Kabir, Roma Patel, Thomas Kallachil, Imran Inam. European Society of Gastrointestinal Endoscopy on Bile Duct Injuries. J Surg. 2014;2(6):82-87. doi: 10.11648/j.js.20140206.11

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  • @article{10.11648/j.js.20140206.11,
      author = {Syed Adnan Kabir and Syed Irfan Kabir and Roma Patel and Thomas Kallachil and Imran Inam},
      title = {European Society of Gastrointestinal Endoscopy on Bile Duct Injuries},
      journal = {Journal of Surgery},
      volume = {2},
      number = {6},
      pages = {82-87},
      doi = {10.11648/j.js.20140206.11},
      url = {https://doi.org/10.11648/j.js.20140206.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20140206.11},
      abstract = {The aim of this article is to describe the pathophysiology, diagnosis, classification, and management of BDI based on the relevant available literature, in particular the recent recommendations from the European Society of Gastrointestinal Endoscopy (ESGE). It is a known fact that bile duct injuries (BDI) are associated with a high morbidity and mortality, posing impaired quality of life along with substantial financial burdens to patients and the society in general. Depending on the type of duct injury, successful management is based upon the time of recognition of injury, patient condition, presence of complications and availability of professional expertise (radiologists, endoscopists and hepato-biliary surgeons). Appropriate management may include endoscopic, per-cutaneous and surgical interventions with imaging playing a significant role in initial diagnosis, assessment and treatment of such injuries.},
     year = {2014}
    }
    

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  • TY  - JOUR
    T1  - European Society of Gastrointestinal Endoscopy on Bile Duct Injuries
    AU  - Syed Adnan Kabir
    AU  - Syed Irfan Kabir
    AU  - Roma Patel
    AU  - Thomas Kallachil
    AU  - Imran Inam
    Y1  - 2014/11/20
    PY  - 2014
    N1  - https://doi.org/10.11648/j.js.20140206.11
    DO  - 10.11648/j.js.20140206.11
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 82
    EP  - 87
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20140206.11
    AB  - The aim of this article is to describe the pathophysiology, diagnosis, classification, and management of BDI based on the relevant available literature, in particular the recent recommendations from the European Society of Gastrointestinal Endoscopy (ESGE). It is a known fact that bile duct injuries (BDI) are associated with a high morbidity and mortality, posing impaired quality of life along with substantial financial burdens to patients and the society in general. Depending on the type of duct injury, successful management is based upon the time of recognition of injury, patient condition, presence of complications and availability of professional expertise (radiologists, endoscopists and hepato-biliary surgeons). Appropriate management may include endoscopic, per-cutaneous and surgical interventions with imaging playing a significant role in initial diagnosis, assessment and treatment of such injuries.
    VL  - 2
    IS  - 6
    ER  - 

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Author Information
  • Surgical Department, Victoria Infirmary Hospital, Glasgow, G429TY

  • Heatherwood and Wexham Park hospital, Slough, Berkshire SL22AL

  • Surgical Department, Lincoln County Hospital, Lincoln, LN25QY

  • Surgical Department, Victoria Infirmary Hospital, Glasgow, G429TY

  • Surgical Department, Victoria Infirmary Hospital, Glasgow, G429TY

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