Posztoperatív epeúti sérülések endoszkópos megoldása

Translated title of the contribution: Endoscopic management of postoperative biliary injuries

Zoltán Völgyi, Tünde Fischer, Mária Szenes, B. Gasztonyi

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

The postoperative complications of the biliary tract, such as leakages and strictures, traditionally had been managed surgically, but from the 90s they are usually treated via endoscopic route. These complications occur most frequently after laparoscopic surgeries. Whenever biliary leakage is suspected, close collaboration between endoscopists and surgeons is needed. Immediate visualization of the biliary tract by ERCP is mandatory to confirm the diagnosis and to locate the exact site of the lesion. Various endoscopic techniques have been proved effective in treating post-cholecystectomy biliary leaks. The crucial point is to equalize the duodenal and the biliary pressures, allowing flow of the bile into the duodenum, advancing the healing of the lesion. This can be achieved with a simple endoscopic sphincterotomy or endoscopic sphincterotomy with subsequent insertion of a plastic stent. These methods seem to be equally suitable; however, for greater lesions stent placement is advisable. For strictures multiple stenting is the effective method, and the long standing effects also seem to be good.

Original languageHungarian
Pages (from-to)2313-2318
Number of pages6
JournalOrvosi Hetilap
Volume150
Issue number51
DOIs
Publication statusPublished - 2009

Fingerprint

Endoscopic Sphincterotomy
Biliary Tract
Stents
Pathologic Constriction
Endoscopic Retrograde Cholangiopancreatography
Wounds and Injuries
Cholecystectomy
Duodenum
Bile
Laparoscopy
Plastics
Pressure
Surgeons

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Posztoperatív epeúti sérülések endoszkópos megoldása. / Völgyi, Zoltán; Fischer, Tünde; Szenes, Mária; Gasztonyi, B.

In: Orvosi Hetilap, Vol. 150, No. 51, 2009, p. 2313-2318.

Research output: Contribution to journalArticle

Völgyi, Zoltán ; Fischer, Tünde ; Szenes, Mária ; Gasztonyi, B. / Posztoperatív epeúti sérülések endoszkópos megoldása. In: Orvosi Hetilap. 2009 ; Vol. 150, No. 51. pp. 2313-2318.
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