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An Elderly Man with a Postcholecystectomy Bile LeakIn this series we ask one or more experts to review a case. They are provided with information on which further management is to be based, and asked to explain their rationale, using the available evidence in the literature. What was actually done in the case is then revealed.
31 December 2000 (online)
I am pleased to introduce Dr Thierry Ponchon, MD, from Lyon, France, as our guest discussant. Dr Ponchon is a world expert in hepatobiliary and pancreatic disorders.
- 1 Mergener K, Stobel JC, Suhocki P, et al. The role of ERCP in the diagnosis and management of accessory bile duct leaks after cholecystectomy. Gastrointest Endosc. 1999; 50 527-531
- 2 Bergman GHM, Van den Brink GR, Rauws EAJ, et al. Treatment of bile duct lesions after laparoscopic cholecystectomy. Gut. 1996; 38 141-147
- 3 Prat F, Pelltier G, Ponchon T, et al. What role can endoscopy play in the management of biliary complications after laparoscopic cholecystectomy?. Endoscopy. 1997; 29 341-348
- 4 Neidich R, Soper N, Edmundowicz S, et al. Endoscopic management of bile duct leaks after attempted laparoscopic cholecystectomy. Surg Laparosc Endosc. 1996; 6 348-354
- 5 Chow S, Basco JJ, Heiss FW, et al. Successful treatment of post-cholecystectomy bile leaks using nasobiliary tube drainage and sphincterotomy. Am J Gastroenterol. 1997; 92 1839-1843
- 6 Barkun AN, Rezieg M, Mehta SN, et al. Post-cholecystectomy biliary leaks in the laparoscopic era: risk factors, presentation and management. McGill Gallstone Treatment Group. Gastrointest Endosc. 1997; 45 277-282
- 7 Suhocki PV, Meyers WC. Injury to aberrant bile ducts during cholecystectomy: a common cause of diagnostic error and treatment delay. AJR Am J Roentgenol. 1999; 172 955-959
Hôpital Edouard Herriot
69437 Lyon Cedex 03
Fax: + 33-4-72110147
J. BaillieM.B., Ch.B., F.R.C.P.
Dept. of Medicine Division of Gastroenterology Duke University Medical Center
Box 3189, DUMC
Durham, North Carolina 27710