Endoscopic treatment of biliary leakage with n-butyl-2 cyanoacrylate.

Autor: Seewald S; Department of Interdisciplinary Endoscopy, University Hospital, Hamburg-Eppendorf, Germany., Groth S, Sriram PV, Xikun H, Akaraviputh T, Mendoza G, Brand B, Seitz U, Thonke F, Soehendra N
Jazyk: angličtina
Zdroj: Gastrointestinal endoscopy [Gastrointest Endosc] 2002 Dec; Vol. 56 (6), pp. 916-9.
DOI: 10.1067/mge.2002.129873
Abstrakt: Background: Biliary leakage is a problematic complication of hepatobiliary surgery. A novel alternative method is described that can obviate the need for reoperation for refractory biliary fistula.
Methods: Nine patients with large biliary leaks unresponsive to endoscopic drainage underwent N-butyl-2-cyanoacrylate glue occlusion at ERCP.
Results: In 7 patients, occlusion was successful with prompt control of the fistula in a single session, averting reoperation. In 1 patient there was a partial response and in another the treatment was unsuccessful. No procedure-related complication occurred over a median follow-up of 35 months (range: 1.6-160 months).
Conclusion: N-butyl-2-cyanoacrylate glue occlusion is a safe and effective endoscopic method for control of refractory bile leaks that eliminates the need for surgical reintervention.
Databáze: MEDLINE
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