Biliary Trauma Follow-up

Updated: Jun 09, 2017
  • Author: Frederick Merrill Karrer, MD, FACS; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
  • Print
Follow-up

Further Outpatient Care

See the list below:

  • Long-term follow-up care is important to detect postoperative biliary stricture, which is usually detected within 2 years of repair.
  • ERCP can be critical in defining extrahepatic biliary tract strictures.
Next:

Complications

Complications may arise from the trauma itself or from its treatment.

  • Bilomas: Bile leak causing localized collections may be treated by ERCP and stent to favor bile drainage into the duodenum with or without percutaneous drainage by interventional radiology.
  • Fistulas/abscess: Most will resolve spontaneously after adequate drainage.
  • Strictures: They may cause early complications (eg, cholangitis) or chronic liver problems (eg, biliary cirrhosis). If detected, strictures can be treated by ERCP and stent. Chronic, persistent strictures, may require bilio-enteric bypass with either hepatico-jejunostomy or hepatico-duodenostomy.
Previous
Next:

Prognosis

See the list below:

  • While survival is likely if an injury is recognized in a timely fashion, long-term health-related quality of life may be decreased in patients who experience a biliary injury secondary to cholecystectomy.
Previous