Findings at endoscopic retrograde cholangiopancreatography after endoscopic treatment of postcholecystectomy bile leaks
Background Although the endoscopic management of bile leaks after cholecystectomy (CCY) is well established, the yield of a routine endoscopic retrograde cholangiogram (ERC) with a bile duct sweep at the time of stent removal is unclear. This study aimed to describe the prevalence of abnormal findin...
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| مؤلفون آخرون: | , , , , , , |
| التنسيق: | article |
| منشور في: |
2010
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| الوصول للمادة أونلاين: | http://hdl.handle.net/10725/4121 http://dx.doi.org/10.1007/s00464-009-0842-3 http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php http://link.springer.com/article/10.1007/s00464-009-0842-3 |
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| _version_ | 1864513462893281280 |
|---|---|
| author | Azar, Riad |
| author2 | Cote, Gregory A. Ansstas, Michael Shah, Somal Keswani, Rajesh N. Alkade, Saad Jonnalagadda, Sreenivasa Edmundowicz, Steven A. |
| author2_role | author author author author author author author |
| author_facet | Azar, Riad Cote, Gregory A. Ansstas, Michael Shah, Somal Keswani, Rajesh N. Alkade, Saad Jonnalagadda, Sreenivasa Edmundowicz, Steven A. |
| author_role | author |
| dc.creator.none.fl_str_mv | Azar, Riad Cote, Gregory A. Ansstas, Michael Shah, Somal Keswani, Rajesh N. Alkade, Saad Jonnalagadda, Sreenivasa Edmundowicz, Steven A. |
| dc.date.none.fl_str_mv | 2010 2016-06-22T06:02:55Z 2016-06-22T06:02:55Z 2016-06-22 |
| dc.identifier.none.fl_str_mv | 0930-2794 http://hdl.handle.net/10725/4121 http://dx.doi.org/10.1007/s00464-009-0842-3 Coté, G. A., Ansstas, M., Shah, S., Keswani, R. N., Alkade, S., Jonnalagadda, S. S., ... & Azar, R. R. (2010). Findings at endoscopic retrograde cholangiopancreatography after endoscopic treatment of postcholecystectomy bile leaks. Surgical endoscopy, 24(7), 1752-1756. http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php http://link.springer.com/article/10.1007/s00464-009-0842-3 |
| dc.language.none.fl_str_mv | en |
| dc.relation.none.fl_str_mv | Surgical Endoscopy |
| dc.rights.*.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.title.none.fl_str_mv | Findings at endoscopic retrograde cholangiopancreatography after endoscopic treatment of postcholecystectomy bile leaks |
| dc.type.none.fl_str_mv | Article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/article |
| description | Background Although the endoscopic management of bile leaks after cholecystectomy (CCY) is well established, the yield of a routine endoscopic retrograde cholangiogram (ERC) with a bile duct sweep at the time of stent removal is unclear. This study aimed to describe the prevalence of abnormal findings at follow-up ERC to determine whether upper endoscopy with stent removal and without cholangiography would suffice. Methods A retrospective cohort analysis of all patients referred for initial and follow-up ERC with post-CCY bile leak was performed. The rate of abnormal findings was measured including choledocholithiasis, biliary strictures, and persistent bile leaks at follow-up ERC. Secondarily, the study sought to define the clinical characteristics of patients who demonstrated stones or sludge at follow-up assessment. Results Between January, 2003 and April, 2008, 105 patients underwent initial and follow-up ERC. After a mean interval of 6.9 ± 2.7 weeks between endoscopies, 29 (27.6%) of the 105 patients demonstrated one or more abnormalities including persistent bile leak (n = 8), common bile duct (CBD) stones (n = 12), and CBD sludge alone (n = 9). In the subgroup analysis of the patients who underwent a balloon sweep at initial and follow-up ERC, the prevalence of CBD stones or sludge at the follow-up ERC was 17.6%. Besides stones during the initial ERC, no significant clinical predictors of CBD stones were found at follow-up ERC including surgical approach, interval between endoscopies, and location of bile leak. Conclusion After endoscopic treatment of a bile leak, the prevalence of abnormalities at follow-up ERC is significant. A repeat cholangiogram with a balloon sweep is preferred at the time of stent removal. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | LAURepo_04ca0bbc719cccc86106a1e7055733e8 |
| identifier_str_mv | 0930-2794 Coté, G. A., Ansstas, M., Shah, S., Keswani, R. N., Alkade, S., Jonnalagadda, S. S., ... & Azar, R. R. (2010). Findings at endoscopic retrograde cholangiopancreatography after endoscopic treatment of postcholecystectomy bile leaks. Surgical endoscopy, 24(7), 1752-1756. |
| language_invalid_str_mv | en |
| network_acronym_str | LAURepo |
| network_name_str | Lebanese American University repository |
| oai_identifier_str | oai:laur.lau.edu.lb:10725/4121 |
| publishDate | 2010 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| spelling | Findings at endoscopic retrograde cholangiopancreatography after endoscopic treatment of postcholecystectomy bile leaksAzar, RiadCote, Gregory A.Ansstas, MichaelShah, SomalKeswani, Rajesh N.Alkade, SaadJonnalagadda, SreenivasaEdmundowicz, Steven A.Background Although the endoscopic management of bile leaks after cholecystectomy (CCY) is well established, the yield of a routine endoscopic retrograde cholangiogram (ERC) with a bile duct sweep at the time of stent removal is unclear. This study aimed to describe the prevalence of abnormal findings at follow-up ERC to determine whether upper endoscopy with stent removal and without cholangiography would suffice. Methods A retrospective cohort analysis of all patients referred for initial and follow-up ERC with post-CCY bile leak was performed. The rate of abnormal findings was measured including choledocholithiasis, biliary strictures, and persistent bile leaks at follow-up ERC. Secondarily, the study sought to define the clinical characteristics of patients who demonstrated stones or sludge at follow-up assessment. Results Between January, 2003 and April, 2008, 105 patients underwent initial and follow-up ERC. After a mean interval of 6.9 ± 2.7 weeks between endoscopies, 29 (27.6%) of the 105 patients demonstrated one or more abnormalities including persistent bile leak (n = 8), common bile duct (CBD) stones (n = 12), and CBD sludge alone (n = 9). In the subgroup analysis of the patients who underwent a balloon sweep at initial and follow-up ERC, the prevalence of CBD stones or sludge at the follow-up ERC was 17.6%. Besides stones during the initial ERC, no significant clinical predictors of CBD stones were found at follow-up ERC including surgical approach, interval between endoscopies, and location of bile leak. Conclusion After endoscopic treatment of a bile leak, the prevalence of abnormalities at follow-up ERC is significant. A repeat cholangiogram with a balloon sweep is preferred at the time of stent removal.PublishedN/A2016-06-22T06:02:55Z2016-06-22T06:02:55Z20102016-06-22Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article0930-2794http://hdl.handle.net/10725/4121http://dx.doi.org/10.1007/s00464-009-0842-3Coté, G. A., Ansstas, M., Shah, S., Keswani, R. N., Alkade, S., Jonnalagadda, S. S., ... & Azar, R. R. (2010). Findings at endoscopic retrograde cholangiopancreatography after endoscopic treatment of postcholecystectomy bile leaks. Surgical endoscopy, 24(7), 1752-1756.http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.phphttp://link.springer.com/article/10.1007/s00464-009-0842-3enSurgical Endoscopyinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/41212021-03-19T10:00:55Z |
| spellingShingle | Findings at endoscopic retrograde cholangiopancreatography after endoscopic treatment of postcholecystectomy bile leaks Azar, Riad |
| status_str | publishedVersion |
| title | Findings at endoscopic retrograde cholangiopancreatography after endoscopic treatment of postcholecystectomy bile leaks |
| title_full | Findings at endoscopic retrograde cholangiopancreatography after endoscopic treatment of postcholecystectomy bile leaks |
| title_fullStr | Findings at endoscopic retrograde cholangiopancreatography after endoscopic treatment of postcholecystectomy bile leaks |
| title_full_unstemmed | Findings at endoscopic retrograde cholangiopancreatography after endoscopic treatment of postcholecystectomy bile leaks |
| title_short | Findings at endoscopic retrograde cholangiopancreatography after endoscopic treatment of postcholecystectomy bile leaks |
| title_sort | Findings at endoscopic retrograde cholangiopancreatography after endoscopic treatment of postcholecystectomy bile leaks |
| url | http://hdl.handle.net/10725/4121 http://dx.doi.org/10.1007/s00464-009-0842-3 http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php http://link.springer.com/article/10.1007/s00464-009-0842-3 |