Radiologic Procedures in Diagnosing and Treating Patients with Detected Benign Biliary Stricture after Laparoscopic Cholecystectomy

Authors

  • Bet Ba?tu? Bilecik State Hospital, Radiology Department,Bilecik,11000, Turkey.
  • Arzu Poyanl? Istanbul Medicine Faculty, Radiology Department, Istanbul, 34096,Turkey.

Keywords:

Laparoscopic Cholecystectomy, Benign Biliary Stricture, Radiologic Procedures, Diagnosing, Treating.

Abstract

Objective: There are many reasons for benign biliary strictures.Laparoscopic cholecystectomy constitutes the main cause. In this study radiologic procedures in diagnosing and treating patients with detected benign biliary stricture after laparoscopic cholecystectomy are discussed.

Material and Methods: The study was designed as a retrospective investigation. The study group included 30 patients who were referred with biliary strictures after laparoscopic cholecystectomy.

Results: The group consisted of 21 women and 9 men. The patients were admitted most frequently with symptoms of jaundice and cholangitis. In all patients, ultrasound and magnetic resonance cholangiopancreatography imaging were performed. Prior to surgery, percutaneous transhepatic cholangiography and a drainage procedure were performed in all patients except two. Two patients underwent balloon dilation. In one patient a biloma was detected on the computed tomography scan and this was drained percutaneously. In one patient an arteriovenous fistula was detected and a fistula embolization was performed. In one patient in whom an intrahepatic abscess was detected, drainage was performed using ultrasound.

The group was evaluated for accompanying vascular injuries using computed tomographic angiography. Digital subtraction angiography was performed on 10 patients in whom vascular injury was detected on the computed tomographic angiography and the diagnosis was confirmed.

Discussion: Laparoscopic cholecystectomy can result in high rates of bile duct injury. Diagnostic and interventional radiological procedures such as US, CT, MRI, MRCP, PTC and ,PTC drainage can be used in the diagnosis and treatment. Bile duct injuries accompanied by arterial injuries can be detected with CTA and DSA procedures.

Conclusion: Diagnostics and interventional radiologic modalities are often used in diagnosing and treating patients with detected benign biliary injury after laparoscopic cholecystectomy.

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Published

2016-02-19

How to Cite

Ba?tu?, B., & Poyanl?, A. (2016). Radiologic Procedures in Diagnosing and Treating Patients with Detected Benign Biliary Stricture after Laparoscopic Cholecystectomy. International Journal of Sciences: Basic and Applied Research (IJSBAR), 25(2), 321–330. Retrieved from https://gssrr.org/index.php/JournalOfBasicAndApplied/article/view/5297

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