. 2004; 10(4): 221-225 | |||
Travmatik safra yolu yaralanmalar›nda kal›c› tedaviMert Erkan1, Orhan Bilge1, İlgin Özden1, Yaman Tekant1, Koray Acarlı1, Aydın Alper1, Ali Emre1, Orhan Arıoğul1Department of General Surgery, Hepatopancreatobiliary Surgery Unit, Medicine Faculty of İstanbul, İstanbul, Turkey.Definitive treatment of traumatic biliary injuriesMert Erkan1, Orhan Bilge1, İlgin Özden1, Yaman Tekant1, Koray Acarlı1, Aydın Alper1, Ali Emre1, Orhan Arıoğul1Department of General Surgery, Hepatopancreatobiliary Surgery Unit, Medicine Faculty of İstanbul, İstanbul, Turkey.BACKGROUND: We presented our experience with definitive treatment of traumatic biliary injuries. METHODS: Six male patients (mean age 13 years; range 2 to 32 years) who were referred to our unit for definitive treatment of traumatic biliary injuries were retrospectively evaluated. Data were analyzed in terms of demographic characteristics, echanisms of injuries, associated injuries, previous treatments, symptoms on admission, treatment at our unit, and the results of treatment. Outcome was assessed using modified Schweiser and Blumgart criteria. RESULTS: The injuries were due to blunt abdominal trauma in all the patients but one who had a gunshot wound. In three patients, biliary injuries were missed at the initial operation. On admission, three patients had external biliary fistulas, two had biliary strictures. One patient was sent following inadvertent ligation of the hepatoduodenal ligament during attempts to control hemorrhage. Roux-en-Y hepaticojejunostomy was performed in three patients. Percutaneous biloma drainage was performed in two patients, esulting in fistula closure in 13 and 40 days, respectively. One patient was treated by endoscopic retrograde cholangiopancreatography and papillotomy, which enabled fistula closure Mert Erkan, Orhan Bilge, İlgin Özden, Yaman Tekant, Koray Acarlı, Aydın Alper, Ali Emre, Orhan Arıoğul. Definitive treatment of traumatic biliary injuries. . 2004; 10(4): 221-225 |
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