| Changing patterns of traumatic bile duct injuries: a review of forty years experience. | |
| | |
MedLine Citation:
|
PMID: 11833062 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
AIM: To summarize the experiences of treating bile duct injuries in 40 years of clinical practice. METHODS: Based on the experience of more than 40 years of clinical work, 122 cases including a series of 61 bile duct injuries of the Southwest Hospital, Chongqing, and 42 cases (1989-1997) and 19 cases (1998-2001) of the General Hospital of PLA, Beijing, were reviewed with special reference to the pattern of injury. A series of cases of the liver and the biliary tract injuries following interventional therapy for hepatic tumors, most often hemangioma of the liver, were collected. Chinese medical literature from 1995 to 1999 dealing with 2742 traumatic bile duct strictures were reviewed. RESULTS: There was a changing pattern of the bile duct injury. Although most of the cases of bile duct injuries resulted from open cholecystectomy, other types from other type of trauma such as laparoscopic cholecystectomy (Lc) and hepatic surgery were increased in recent years. Moreover, serious hepato-biliary injuries following HAE using sclerotic agents such as sodium morrhuate and absolute ethanol for the treatment of hepatic hemangiomas were encountered in recent years. Experiences in how to avoid bile duct injury and to treat traumatic biliary strictures were presented. CONCLUSION: Traumatic bile duct stricture is one of the serious complications of hepato-biliary surgery, its prevalence seemed to be increased in recent years. The pattern of bile duct injury was also changed and has become more complicated. Interventional therapy with sclerosing agents may cause serious hepatobiliary complications and should be avoided. |
| | |
Authors:
|
Zhi-Qiang Huang; Xiao-Qiang Huang |
Publication Detail:
|
Type: Journal Article; Review |
Journal Detail:
|
Title: World journal of gastroenterology : WJG Volume: 8 ISSN: 1007-9327 ISO Abbreviation: World J. Gastroenterol. Publication Date: 2002 Feb |
Date Detail:
|
Created Date: 2002-02-08 Completed Date: 2002-05-03 Revised Date: 2009-11-03 |
Medline Journal Info:
|
Nlm Unique ID: 100883448 Medline TA: World J Gastroenterol Country: China |
Other Details:
|
Languages: eng Pagination: 5-12 Citation Subset: IM |
Affiliation:
|
Research Institute of General Surgery, The General Hospital of Chinese PLA, Beijing 100853,China. zhiqianghuang2000@yahoo.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Bile Ducts
/
injuries* China / epidemiology Cholecystectomy / adverse effects*, statistics & numerical data* Cholestasis / epidemiology*, etiology Gallbladder / surgery Humans Iatrogenic Disease / epidemiology Liver / surgery Prevalence Sclerosing Solutions / adverse effects Stomach / surgery |
| Chemical | |
Reg. No./Substance:
|
0/Sclerosing Solutions |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Experimental models to study cholangiocyte biology.
Next Document: The management of patients with the short bowel syndrome.