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Review
. 2019 Apr;8(2):141-149.
doi: 10.21037/gs.2019.01.05.

Biliary injuries after pancreatic surgery: interventional radiology management

Salvatore Alessio Angileri  1 , Giovanna Gorga  1 , Silvia Tortora  1 , Maayan Avrilingi  1 , Mario Petrillo  1 , Anna Maria Ierardi  1 , Gianpaolo Carrafiello  1
Affiliations
Review

Biliary injuries after pancreatic surgery: interventional radiology management

Salvatore Alessio Angileri et al. Gland Surg. 2019 Apr.

Abstract

Bile duct injuries are among the most feared complications after pancreatic surgery. Most of these surgical complications are related to iatrogenic injuries and include bile leakage, biliary duct obstruction or stricture and infection. A wide range of Interventional Radiology treatment options are currently available. The options include percutaneous transhepatic cholangiography (PTC), percutaneous transhepatic biliary drainage (PTBD), percutaneous balloon dilatation and stenting, image-guided percutaneous abscess drainage. The purpose of this review is to describe the current evidence in this continuously evolving field.

Keywords: Biliary injuries; biliary stents; percutaneous interventions; transhepatic biliary drainage.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Percutaneous transhepatic cholangiography with Chiba needle under fluoroscopic guidance.
Figure 2
Figure 2
Percutaneous transhepatic biliary drainage in bilio-enteric stricture after pancreatic surgery.
Figure 3
Figure 3
Biliary leak. (A) PTC demonstrated biliary leakage after hepatectomy; (B) stent and plug placement covered successfully the leakage. PTC, percutaneous transhepatic cholangiography.
See this image and copyright information in PMC

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