2021
DOI: 10.1590/s0004-2803.202100000-12
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Abstract: BACKGROUND: Hepatobiliary surgery and hepatic trauma are frequent causes of bile leaks and this feared complication can be safely managed by endoscopic retrograde cholangiopancreatography (ERCP). The approach consists of sphincterotomy alone, biliary stenting or a combination of the two but the optimal form remains unclear. OBJECTIVE: The aim of this study is to compare sphincterotomy alone versus sphincterotomy plus biliary stent placement in the treatment of post-surgical and traumatic bile leaks. METHOD… Show more

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Cited by 3 publications
(7 citation statements)
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“…However, there are no data in the literature that associate fistula with the presence or absence of biliary tract dilatation. The conflicting data in relation to the aforementioned study may be related to the etiology; however, there were no biliary fistula associated with LT 7 .…”
Section: Discussionmentioning
confidence: 83%
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“…However, there are no data in the literature that associate fistula with the presence or absence of biliary tract dilatation. The conflicting data in relation to the aforementioned study may be related to the etiology; however, there were no biliary fistula associated with LT 7 .…”
Section: Discussionmentioning
confidence: 83%
“…The most frequent location of the leak after LT was the biliary anastomosis (82% [9]), followed by the cystic duct and common bile duct. After cholecystectomy, the most frequent location was the cystic duct stump (64% [7]), followed…”
Section: Resultsmentioning
confidence: 99%
“…Internal biliary drainage via endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy and/or biliary stenting is the mainstay of bile leak management, with success rates that approach 100% and relatively low rates of complications. 3,5,7,8 Literature exists, however, that many bile leaks may be treated successfully without internal biliary drainage, that is, with observation ± percutaneous drainage alone. [9][10][11] Delineation of the optimal management of patients with bile leaks following severe liver injury is of critical interest to clinicians.…”
mentioning
confidence: 99%
“…The nuances of bile leak diagnosis and management are not yet empirically defined. Part of the challenge in the evidence-based management of traumatic bile leaks is the paucity of data to guide treatment, with the vast majority of bile leaks occurring following cholecystectomy 5,6 . Therefore, the need for and timing of interventions for traumatic bile leak management and the utility of various investigations used to confirm the diagnosis of bile leak are not yet established by existing literature.…”
mentioning
confidence: 99%
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