Open AccessThe Extrahepatic Biliary Tract Injury
Author(s) -
Akio Kitahama,
Lester F. Elliott,
John L. Overby,
Watts R. Webb
Publication year - 1982
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-198211000-00005
Subject(s) - medicine , anastomosis , biliary tract , biliary fistula , surgery , fibrous joint , fistula , mortality rate , biliary tract surgical procedures , biliary drainage , general surgery
Nonsurgical trauma to the extrahepatic biliary tract is being reported with increasing frequency. There has been no recent review of the management of these injuries. Forty patients over the past twelve years at Charity Hospital, New Orleans, were studied. The 10% mortality rate was due to associated injuries. Tangential injuries were best managed by suture closure and T-tube drainage. Biliary-enteric anastomoses were most successful in the treatment of complete transections. Delayed diagnosis is not uncommon, and new methods of diagnosis are discussed. Injuries of this nature are responsible for high morbidity rates due to fistula or stricture formation. Successful management of these injuries is vital, even in those patients with more severe associated injuries.