Incidence and management of biliary leakage after hepaticojejunostomy

  title={Incidence and management of biliary leakage after hepaticojejunostomy},
  author={Steve M. M. de Castro and Koert Kuhlmann and Olivier R. C. Busch and Otto M. van Delden and J. S. Lameris and Thomas van Gulik and Hugo Obertop and Dirk. J. Gouma},
  journal={Journal of Gastrointestinal Surgery},
This study analyzes the change in the management of biliary leakage after hepaticojejunostomy. Between 1993 and 2003 all patients (n = 1033) were studied with a hepaticojejunostomy as part of a pancreatoduodenectomy (n = 486), proximal bile duct resection (without liver resection) (n = 35), and biliodigestive bypass for malignant (n = 302) and benign (n = 210) disease. Biliary leakage was defined as the presence of bile-stained fluid (>50 mL) in the abdominal drain more than 24 hours after… CONTINUE READING
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