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Use of Contrast-Fortified Surgilube for Biliary Drainage in the Setting of Active Leakage 

Use of Contrast-Fortified Surgilube for Biliary Drainage in the Setting of Active Leakage
Chapter:
Use of Contrast-Fortified Surgilube for Biliary Drainage in the Setting of Active Leakage
Author(s):

S. Lowell Kahn

DOI:
10.1093/med/9780199986071.003.0083
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date: 27 January 2020

Biliary leaks are a common clinical entity that may occur after trauma or surgery. Endoscopic retrograde cholangiopancreatography (ERCP) is the first choice of treatment for an active biliary leak. Percutaneous transhepatic cholangiography (PTC) with drain placement (external or internal/external) is increasingly employed either alone or as an adjunct to endoscopy (Rendezvous procedure) or surgery. Performance of a PTC on the nondilated system remains technically challenging and is associated with extra needle passes and significantly longer fluoroscopy times. Technical challenges arise from needle localization of a small nondilated duct and the contrast that is injected will pass through the leak rather than distending and opacifying the ducts. This chapter describes the use of contrast-fortified Surgilube for biliary opacification in the setting of an active biliary leak.

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