Endoscopic management of traumatic hepatobiliary injuries
| العنوان: | Endoscopic management of traumatic hepatobiliary injuries |
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| المؤلفون: | Virendra Singh, Gurpreet Singh, Ganga Ram Verma, Kannan Laksmi Narasimhan |
| المصدر: | Journal of Gastroenterology and Hepatology. 22:1205-1209 |
| بيانات النشر: | Wiley, 2007. |
| سنة النشر: | 2007 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Adolescent, Gauche effect, Endoscopic management, Sphincterotomy, Endoscopic, Hemodynamically stable, Female patient, medicine, Humans, Endoscopy, Digestive System, Fat embolism, Biliary Tract, Child, Cholangiopancreatography, Endoscopic Retrograde, Endoscopic retrograde cholangiopancreatography, Hepatology, medicine.diagnostic_test, business.industry, Gastroenterology, medicine.disease, Surgery, Endoscopy, Liver, Biliary tract, Drainage, Female, business |
| الوصف: | Background: Non-surgical treatment has become the therapeutic method of choice in hemodynamically stable patients with liver trauma. There are a few reports of endoscopic management of traumatic hepatobiliary injuries in such patients; however, the optimal intervention is not known. Methods: Twenty patients with traumatic hepatobiliary injuries from May 1997 to November 2005 were retrospectively evaluated. Results: There were 18 male and two female patients with a mean age of 21.45 ± 10.17 years (range 7–42 years). Seven patients were children. Patients presented 19.4 ± 17.04 days following trauma. Computed tomography (CT) revealed hepatic laceration in right lobe in 14 (70%) and in left lobe in six (30%) patients. Endoscopic retrograde cholangiopancreatography (ERCP) revealed biliary leak in right duct in 14 (70%) and in left duct in six (30%) patients. Five patients also had bilhemia and one had hemobilia. Thirteen patients (65%) were treated by endoscopic sphincterotomy with nasobiliary drainage and seven (35%) were treated by nasobiliary drainage alone, which enabled fistula closure in 15.76 ± 4.22 days and 12.14 ± 3.93 days, respectively (P > 0.05). One patient in sphincterotomy group died due to multiple bony injuries and fat embolism. Two patients developed fever following ERCP, which responded to antibiotic treatment. Conclusions: Endoscopic treatment with nasobiliary drainage without sphincterotomy is the optimal method of management of traumatic hepatobiliary injuries in hemodynamically stable patients. |
| تدمد: | 1440-1746 0815-9319 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::06afefb5065d3182e26fb23a93dcced5 https://doi.org/10.1111/j.1440-1746.2006.04780.x |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....06afefb5065d3182e26fb23a93dcced5 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14401746 08159319 |
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