Repair Of Common Bile Duct Injuries Pdf Gallbladder Liver A combination of bile and pancreatic duct injuries is very rare. anomalous ductal anatomy, distorting duodenal fibrosis, and pancreatic atrophy predispose to this untoward complication during performance of distal gastrectomy for benign peptic stricture. This review article will focus on the endoscopic treatment possibilities for the two most severe biliary and pancreatic ductal injuries: cbdi and dpds.
Bile Duct Injury Pdf Diseases And Disorders Medicine Pancreatic injuries should be treated by debridement and simple drainage unless there is clinically obvious duct involvement. for distal injuries with duct involvement, a distal pancreatectomy is indicated. Anomalous ductal anatomy, distorting duodenal fibrosis, and pancreatic atrophy predispose to this untoward complication during performance of distal gastrectomy for benign peptic stricture. Asensio et al. reports that the indications for traumatic pancreatoduodenectomy are massive uncontrollable retropancreatic hemorrhage or massive unreconstructable injury to the head of the pancreas when involving the main pancreatic duct and distal or intrapancreatic portion of the common bile duct. Proximal injury with probable duct disruption safest option external drainage, if no devitalisation of the pancreatic head or duodenum and the ampulla is intact.
Bile Duct Injury 2 Pdf Asensio et al. reports that the indications for traumatic pancreatoduodenectomy are massive uncontrollable retropancreatic hemorrhage or massive unreconstructable injury to the head of the pancreas when involving the main pancreatic duct and distal or intrapancreatic portion of the common bile duct. Proximal injury with probable duct disruption safest option external drainage, if no devitalisation of the pancreatic head or duodenum and the ampulla is intact. Pancreatic injuries should be treated by debridement and simple drainage unless there is clinically obvious duct involvement. for distal injuries with duct involvement, a distal pancreatectomy is indicated. A combination of bile and pancreatic duct injuries is very rare. anomalous ductal anatomy, distorting duodenal fibrosis, and pancreatic atrophy predispose to this untoward complication during performance of distal gastrectomy for benign peptic stricture. Investigation for duct injury is mandated with a hematoma overlying the pancreas, a retroperitoneal hematoma abut ting the pancreas, retroperitoneal saponification, or bile staining. Most of the bile duct injuries from traumas are associated with damage to the liver and present with a spectrum of conditions ranging from full transections or partial lacerations, to simple contusions and wall hematomas [1–12].
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