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An educational program developed by the Institute of Image-Guided Surgery of Strasbourg, University of Strasbourg and in partnership with IRCAD.

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Endoscopic Approach For Refractory Complications After Various Biliary Operations


Introduction


The lesson includes:

Introduction

Video

Quiz

PDF

Speakers

DK Lee

Lesson description:

Biliary leaks and strictures are the most frequent complications after HPB surgery. When suspecting a bile leak after liver resection ERCP allows to both confirm and localize the leak and to treat it by sphincterotomy and stent placement. In case of complex strictures and leakage the ideal managements should combine the use of fc-SEMS and plastic stents in order to drain all the biliary branches and prevent cholangitis. Several ERCP sessions and long lasting treatment can be necessary to achieve the complete resolution of a complex stricture.