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Percutaneous interventional therapy of persistent biliary fistulas

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dc.contributor.author Yağcı, Ahmet Baki.
dc.contributor.author Parildar, M.
dc.contributor.author Oran, I.
dc.contributor.author Memis, A.
dc.date.accessioned 2019-08-16T11:32:31Z
dc.date.available 2019-08-16T11:32:31Z
dc.date.issued 2007
dc.identifier.issn 09428925 (ISSN)
dc.identifier.uri http://acikerisim.pau.edu.tr:8080/xmlui/handle/11499/4190
dc.description.abstract Background: Persistent biliary leakage is a challenging problem when conservative treatment methods fail. We present our experience with alternative percutaneous radiologic interventions to seal refractory biliary leaks. Methods: From April 1998 to December 2005, a retrospective analysis of 23 patients with biliary leakage revealed six patients who were unresponsive to drainage were treated with use of Histoacryl (n = 5), microcoils (n = 2), or covered stent (n = 2) alone or in various combinations. Results: In all patients, the biliary leakage ceased following a single procedure. Distally migration of microcoils into the abscess cavity was observed in a one coiling procedure, which was clinically insignificant. In one patient treated with covered stent, in-stent restenosis was seen in the postprocedural second year, which required another intervention. No recurrence of fistula was noted in the follow-up period (ranging from 6 to 47 months). Conclusions: Persistent biliary fistulas can be treated successfully by means of various percutaneous radiological interventions that can decrease the morbidity associated with prolonged external drainage and avert the need for surgery. We recommend superselective embolization, preferably with Histoacryl, for a safe and effective control of leakage. Although restenosis after stenting remains problematic, covered stents should be reserved as a feasible alternative for selected cases. © 2006 Springer Science+Business Media, LLC.
dc.language.iso English
dc.relation.isversionof 10.1007/s00261-006-9142-8
dc.rights info:eu-repo/semantics/closedAccess
dc.subject Bile duct injuries
dc.subject Biliary fistulas
dc.subject Covered stent
dc.subject Interventional procedures
dc.subject Percutaneous embolization
dc.subject enbucrilate
dc.subject adult
dc.subject aged
dc.subject article
dc.subject artificial embolism
dc.subject bile duct fistula
dc.subject clinical article
dc.subject controlled study
dc.subject female
dc.subject follow up
dc.subject human
dc.subject imaging
dc.subject male
dc.subject morbidity
dc.subject priority journal
dc.subject restenosis
dc.subject retrospective study
dc.subject stent
dc.subject Adult
dc.subject Aged
dc.subject Angiography, Digital Subtraction
dc.subject Biliary Fistula
dc.subject Contrast Media
dc.subject Drainage
dc.subject Embolization, Therapeutic
dc.subject Enbucrilate
dc.subject Female
dc.subject Humans
dc.subject Male
dc.subject Middle Aged
dc.subject Radiography, Interventional
dc.subject Retrospective Studies
dc.subject Stents
dc.subject Tomography, X-Ray Computed
dc.title Percutaneous interventional therapy of persistent biliary fistulas
dc.type Article
dc.relation.journal Abdominal Imaging
dc.contributor.authorID 0000-0001-7544-5731
dc.identifier.volume 32
dc.identifier.issue 4
dc.identifier.startpage 475
dc.identifier.endpage 480
dc.relation.publicationCategory Uluslararası Hakemli Dergi
dc.identifier.index Scopus
dc.identifier.index WOS
dc.identifier.index PubMed

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