Korean J Gastrointest Endosc > Volume 33(6); 2006 > Article
Korean Journal of Gastrointestinal Endoscopy 2006;33(6): 346-352.
담즙 유출의 원인과 내시경 치료 효과
영남대학교 의과대학 내과학교실, *포항성모병원 내과
The Causes and Endoscopic Management of Bile Leak
Jong Ryul Eun, M.D., Tae Nyeun Kim, M.D., Sun Taek Choi, M.D.* and Byung Ik Jang, M.D
Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, *Department of Internal Medicine, Pohang Saint Mary's Hospital, Pohang, Korea

This study evaluated the efficacy of endoscopic treatment in a bile leak that occurred through various causes.
The medical records of 35 patients (mean age 55.4 years; male/female 25/10), who were diagnosed with a bile leak by endoscopic retrograde cholangiopancreatography in Yeungnam University Hospital from January 1998 to January 2006, were reviewed.
The most common cause of the bile leak was an open cholecystectomy (n=13, 37.1%) followed by a laparoscopic cholecystectomy (n=10, 28.6%), trauma (n=2, 5.7%), transarterial chemoembolization (n=3, 8.6%), spontaneous (n=3, 8.6%), and a hepatic resection (n=4, 11.4%). Thirty-four patients were treated endoscopically by the insertion of a plastic stent with/without a sphincterotomy (70.6%, 24/34), a nasobiliary drainage (11.8%, 4/34), or a sphincterotomy alone (17.6%, 6/34). Of these 34 patients, 30 were cured by the endoscopic treatment, 2 patients died from liver failure despite the use of nasobiliary drainage and 2 patients did not improve after endoscopic treatment. One patient underwent surgery without endoscopic treatment because of a transsection of the common bile duct. With the exception of the two who died from liver failure, the overall cure rate of endoscopic treatment was 90.9% (30/33). There were no complications associated with the endoscopic treatment.
Endoscopic treatment for a bile leak is safe and effective regardless of the cause. (Korean J Gastrointest Endosc 2006;33:346⁣352)
Key Words: Bile leak, Endoscopic treatment, Endoscopic retrograde cholangiopancreatography
주요어: 담즙 유출, 내시경 치료, 내시경역행담췌관조영술
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