How is CBD injury diagnosed?
Diagnosis and Tests In about 10% to 30% of cases, bile duct injuries are found by the doctor at the time of surgery. He or she might notice leaking bile or a blockage by sight or by using a test called intraoperative cholangiography (IOC).
What is inflammation of the bile duct called?
Cholangitis is an inflammation of the bile duct system. The bile duct system carries bile from your liver and gallbladder into the first part of your small intestine (the duodenum). In most cases cholangitis is caused by a bacterial infection, and often happens suddenly. But in some cases it may be long-term (chronic).
What is a Choledochojejunostomy?
Choledochojejunostomy is a procedure for creating an anastomosis of the common bile duct (CBD) to the jejunum, performed to relieve symptoms of biliary obstruction and restore continuity to the biliary tract.
What is the role of Jejunojejunostomy?
Jejunojejunostomy is a surgical technique used in an anastomosis between two portions of the jejunum. It is a type of bypass occurring in the intestine. It may lead to marked reduction in the functional volume of the intestine. This technique is also performed using Laparoscopic surgery.
What is the bismuth classification of bile duct injury?
The first classification of bile duct injury is authored by H. Bismuth in 1982. Up to now, a number of classifications have been proposed by different authors. The Bismuth classification is a simple classification based on the location of the injury in the biliary tract. This classification is very helpful in prognosis after repair.
What is the Strasberg classification of bile duct injury (BCI)?
The Strasberg classification of bile duct injury is a widely used system to anatomically define these injuries by location 1. 1. Strasberg S, Strasberg HM, Strasberg SN, Strasberg. An Analysis of the Problem of Biliary Injury During Laparoscopic Cholecystectomy. (1995) Journal of the American College of Surgeons. doi: – Pubmed
What is the Strasberg classification of BDI?
To our knowledge, the Strasberg classification of BDI is the most complete and easy to understand. It divides in to five groups (A to E) where the E class is analog to the Bismuth classification, a complex bile duct injury with a complete section of the duct.
How are bile duct injuries classified after laparoscopic cholecystectomy?
McMahon et al. proposed another classification of bile duct injuries after laparoscopic cholecystectomy. They classified the injury by the width of bile duct injury.