Comparison between ERCP and conventional treatment for bile leakage after cholecystectomy
10.3760/cma.j.issn.1007-5232.2012.05.010
- VernacularTitle:内镜治疗和传统治疗对胆囊切除术后胆瘘的诊治疗效对比分析
- Author:
Yongzhong GAO
- Publication Type:Journal Article
- Keywords:
Cholecystectomy;
Biliary fistula;
Endoscopes;
Comparative study
- From:
Chinese Journal of Digestive Endoscopy
2012;29(5):276-278
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo compare the therapeutic result between ERCP and conventional treatment for bile leakage after cholecystectomy.MethodsData of 35 cases with bile leakage after cholecystectomy were retrospectively studied,in which 18 patients underwent conventional therapy and surgery ( conventional group),and 17 others underwent ERCP (endoscopy group).The time of bile leakage closure,complication rate,and re-operation rate of the 2 groups were compared.ResultsIn conventional group,leakage location was identified in 7 cases and mean bile leakage closure time was 23 days.A second operation was performed in 8 cases and complications occurred in 7.In endoscopy gnoup,leakage location was identified in 13 cases and mean bile leakage closure time was 13 days.A second operation was performed in 2 cases and complications occurred in 3.Significant differences were found between 2 groups in regarding of the above references.Conclusion ERCP is accurate and valuable for diagnosis and treatment for bile leakage after cholecystectomy.
