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Endoscopic Management of Biliary Leaks After Laparoscopic Cholecystectomy

Rustagi, Tarun MD; Aslanian, Harry R. MD

Journal of Clinical Gastroenterology: September 2014 - Volume 48 - Issue 8 - p 674–678
doi: 10.1097/MCG.0000000000000044
Clinical Reviews

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.

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