Objective of study: The aim of the study is the evaluation of endoscopic drainage by endoscopic sphincterotomy (ES) and/or nasobiliary tube (NT) placement in healing biliary leaks after laparoscopic cholecystectomy (LC).
Methods: ERCP identified a biliary fistula site after LC in 34 patients as arising from the cystic duct stump (n = 24), anommalous branch of right hepatic duct (n = 2) and common bile duct (n = 8). The mean time from LC to referral was 7,5 days. Therapy consisted of insertion of a 7F NT without ES in the 26 patients and with ES in 8 patients. ES was performed, only in cases of common bile duct injury. NT were used in all patients because this allowed for frequent contrast studies to monitor efficiency of therapy and to determine the exact duration of treatment required.
Results: In 8 pts with common bile duct lesion ES and NT placement during 2 weeks and NT alone in 1 week in remaining were effective in sealing off leaks
Conclusions: NT placement was highly effective in healing biliary leaks after LC. ES as procedure-related risk, was performed only in case of common bile duct injury, to reduce transpapillary pressure.

• Legal notice:
  

  Copyright (c) Pielaszek Research, all rights reserved.
  The above materials, including auxiliary resources, are subject to Publisher's copyright and the Author(s) intellectual rights. Without limiting Author(s) rights under respective Copyright Transfer Agreement, no part of the above documents may be reproduced without the express written permission of Pielaszek Research, the Publisher. Express permission from the Author(s) is required to use the above materials for academic purposes, such as lectures or scientific presentations.
  In every case, proper references including Author(s) name(s) and URL of this webpage: https://science24.com/paper/1374 must be provided.