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Evolving Role of Endoscopic Retrograde Cholangiopancreatography in Management of Extrahepatic Hepatic Ductal Injuries due to Blunt Trauma : Diagnostic and Treatment Algorithms
Joint Authors
Jaik, Nikhil P.
Stawicki, S. Peter
Hoey, Brian A.
Source
Issue
Vol. 2008, Issue 2008 (31 Dec. 2008), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2007-11-15
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Extrahepatic hepatic ductal injuries (EHDIs) due to blunt abdominal trauma are rare.
Given the rarity of these injuries and the insidious onset of symptoms, EHDI are commonly missed during the initial trauma evaluation, making their diagnosis difficult and frequently delayed.
Diagnostic modalities useful in the setting of EHDI include computed tomography (CT), abdominal ultrasonography (AUS), nuclear imaging (HIDA scan), and cholangiography.
Traditional options in management of EHDI include primary ductal repair with or without a T-tube, biliary-enteric anastomosis, ductal ligation, stenting, and drainage.
Simple drainage and biliary decompression is often the most appropriate treatment in unstable patients.
More recently, endoscopic retrograde cholangiopancreatography (ERCP) allowed for diagnosis and potential treatment of these injuries via stenting and/or papillotomy.
Our review of 53 cases of EHDI reported in the English-language literature has focused on the evolving role of ERCP in diagnosis and treatment of these injuries.
Diagnostic and treatment algorithms incorporating ERCP have been designed to help systematize and simplify the management of EHDI.
An illustrative case is reported of blunt traumatic injury involving both the extrahepatic portion of the left hepatic duct and its confluence with the right hepatic duct.
This injury was successfully diagnosed and treated using ERCP.
American Psychological Association (APA)
Jaik, Nikhil P.& Hoey, Brian A.& Stawicki, S. Peter. 2007. Evolving Role of Endoscopic Retrograde Cholangiopancreatography in Management of Extrahepatic Hepatic Ductal Injuries due to Blunt Trauma : Diagnostic and Treatment Algorithms. HPB Surgery،Vol. 2008, no. 2008, pp.1-9.
https://search.emarefa.net/detail/BIM-458150
Modern Language Association (MLA)
Jaik, Nikhil P.…[et al.]. Evolving Role of Endoscopic Retrograde Cholangiopancreatography in Management of Extrahepatic Hepatic Ductal Injuries due to Blunt Trauma : Diagnostic and Treatment Algorithms. HPB Surgery No. 2008 (2008), pp.1-9.
https://search.emarefa.net/detail/BIM-458150
American Medical Association (AMA)
Jaik, Nikhil P.& Hoey, Brian A.& Stawicki, S. Peter. Evolving Role of Endoscopic Retrograde Cholangiopancreatography in Management of Extrahepatic Hepatic Ductal Injuries due to Blunt Trauma : Diagnostic and Treatment Algorithms. HPB Surgery. 2007. Vol. 2008, no. 2008, pp.1-9.
https://search.emarefa.net/detail/BIM-458150
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-458150