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Endoscopic Management of Biliary Leaks After Laparoscopic Cholecystectomy

Rustagi, Tarun MD; Aslanian, Harry R. MD

Journal of Clinical Gastroenterology:
doi: 10.1097/MCG.0000000000000044
Clinical Reviews
Abstract

Laparoscopic cholecystectomy has become the procedure of choice for management of symptomatic cholelithiasis. Although it has distinct advantages over open cholecystectomy, bile leak is more common. Endoscopic retrograde cholangiopancreatography is the diagnostic and therapeutic modality of choice for management of postcholecystectomy bile leaks and has a high success rate with the placement of plastic biliary stents. Repeat endoscopic retrograde cholangiopancreatography with placement of multiple plastic stents, a covered metal stent, or possibly cyanoacrylate therapy may be effective in refractory cases. This review will discuss the indications, efficacy, and complications of endoscopic therapy.

Author Information

Department of Internal Medicine, Section of Digestive Diseases, Yale University School of Medicine, New Haven, CT

The authors declare that they have nothing to disclose.

Reprints: Tarun Rustagi, MD, Department of Internal Medicine, Section of Digestive Diseases, Yale University School of Medicine, 333 Cedar Street, 1080 LMP, New Haven, CT 06520-8019 (e-mail: tarun.rustagi@yale.edu).

© 2014 by Lippincott Williams & Wilkins