Bile Leak From Duct of Luschka After Liver Transplantation

Al-Bishri, Saleh; Issa, S.; Kneteman, N. M.; Shapiro, A M James

doi:10.1097/00007890-200107270-00031

Cited by 19 publications

(13 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, injuries to these ducts have occurred more frequently in the laparoscopic era, as have other bile duct injuries. Leakage from an injured duct of Luschka has been reported after orthotopic liver transplantation [8]. Primary papillary adenocarcinoma of the subvesical duct has also been described in the literature [9].…”

Section: Clinical Conditions Associated With the Ducts Of Luschkamentioning

confidence: 99%

“…In a minority of cases, leaks present several weeks after surgery [8]. In patients with a drain, detection of a bile leakage may be immediate.…”

Section: Clinical Manifestationsmentioning

confidence: 99%

“…In patients with a drain, detection of a bile leakage may be immediate. The volume of bile can range from 100 ml to more than 2 l [8,12,21].…”

Section: Clinical Manifestationsmentioning

confidence: 99%

See 2 more Smart Citations

Bile leaks from the duct of Luschka (subvesical duct): a review

Spanos

Syrakos

2006

Langenbecks Arch Surg

View full text Add to dashboard Cite

Subvesical duct leaks occur after cholecystectomy regardless of gallbladder pathology or urgency of operation. They have been encountered more frequently in the era of laparoscopic cholecystectomy. Intraoperative cholangiography does not detect all such leaks. Staying close to the gallbladder wall during its removal from the fossa is the only known prophylactic measure. ERCP and stent placement are the most common effective diagnostic and therapeutic methods used. Intraoperative and perioperative adjunctive measures, such as fibrin glue instillation and pharmacologic relaxation of the sphincter of Oddi, can potentially be used in lowering the incidence of subvesical bile leaks.

show abstract

Section: Clinical Conditions Associated With the Ducts Of Luschkamentioning

confidence: 99%

“…In a minority of cases, leaks present several weeks after surgery [8]. In patients with a drain, detection of a bile leakage may be immediate.…”

Section: Clinical Manifestationsmentioning

confidence: 99%

See 1 more Smart Citation

Bile leaks from the duct of Luschka (subvesical duct): a review

Spanos

Syrakos

2006

Langenbecks Arch Surg

View full text Add to dashboard Cite

show abstract

“…The long-term prognosis is relatively worse. 7 , 9 Less frequent causes include leaks from the cut surface of a liver graft that has been surgically reduced or obtained in a split-liver or living-donor procedure, 10 leaks from unobserved accessory ducts in the gallbladder fossa, 22 and leaks at incompletely closed cystic duct remnants. 23…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Management of Bile Leakage after Liver Transplantation

Lee

Song

et al. 2015

Gut Liver

View full text Add to dashboard Cite

Background/AimsEndoscopic retrograde cholangiopancreatography (ERCP) can be an effective treatment for bile leakage after liver transplantation. We evaluated the efficacy of endoscopic treatment in liver transplantation in patients who developed bile leaks.MethodsForty-two patients who developed bile leaks after liver transplantation were included in the study. If a bile leak was observed on ERCP, a sphincterotomy was performed, and a nasobiliary catheter was then inserted. If a bile leak was accompanied by a bile duct stricture, either the stricture was dilated with balloons, followed by nasobiliary catheter insertion across the bile duct stricture, or endoscopic retrograde biliary drainage was performed.ResultsIn the bile leakage alone group (22 patients), endoscopic treatment was technically successful in 19 (86.4%) and clinically successful in 17 (77.3%) cases. Among the 20 patients with bile leaks with bile duct strictures, endoscopic treatment was technically successful in 13 (65.0%) and clinically successful in 10 (50.0%) cases. Among the 42 patients who underwent ERCP, technical success was achieved in 32 (76.2%) cases and clinical success was achieved in 27 (64.3%) cases.ConclusionsERCP is an effective and safe therapeutic modality for bile leaks after liver transplantation. ERCP should be considered as an initial therapeutic modality in post-liver transplantation patients.

show abstract

“…It is a common bile associated biliary leakage and intrahepatic biloma formation. 44,45 Biliary ischemia can result from acute or delayed thrombosis of the hepatic artery or postoperative stenosis between the donor and the recipient hepatic arteries. 45 Most liver transplants in the United States are performed using cadaveric donors, but transplantation with living related donors are also performed.…”

Section: Classification Of Postoperative Biliary Leaksmentioning

confidence: 99%

Imaging and Intervention of Biliary Leaks and Bilomas

Vadvala

Arellano

2017

Dig Dis Interv

View full text Add to dashboard Cite

Biliary leaks and bilomas develop due to hepatobiliary surgery, trauma, or locoregional therapy for hepatic malignancies. Though uncommon, they can be a source of abdominal pain, hyperbilirubinemia, and sepsis. A variety of diagnostic tools and interventional techniques are available to diagnose and manage biliary leaks and bilomas. Successful management often requires a multidisciplinary approach between the radiologist, surgeon, and endoscopist.

show abstract

Bile Leak From Duct of Luschka After Liver Transplantation

Cited by 19 publications

References 5 publications

Bile leaks from the duct of Luschka (subvesical duct): a review

Bile leaks from the duct of Luschka (subvesical duct): a review

Endoscopic Management of Bile Leakage after Liver Transplantation

Imaging and Intervention of Biliary Leaks and Bilomas

Contact Info

Product

Resources

About