What are symptoms of bile duct injury?
How will I know if I have a bile duct injury?
- Nausea and vomiting.
- Abdominal pain.
- Swelling of the abdomen.
- General discomfort.
- Jaundice (yellowing of the skin and the whites of the eyes).
What is Strasberg classification?
Strasberg classification: Type A – Injury to the cystic duct or from minor hepatic ducts draining the liver bed. Type B – Occlusion of biliary tree, commonly aberrant right hepatic duct(s). Type C – Transection without ligation of aberrant right hepatic duct(s). Type D – Lateral injury to a major bile duct.
Which is the most common type of bile duct injury?
Class III injury, the most common type, occurs when CBD is mistaken for the cystic duct. The common duct is transected and a variable portion including the junction of the cystic and common duct is excised or removed.
What is Roux-en-Y Hepaticojejunostomy?
A hepaticojejunostomy is a surgical procedure to make a connection (anastomosis) between the hepatic duct and the jejunum, which is the middle portion of the small intestine. This technique is called the Roux-en-Y hepaticojejunostomy.
What causes bile duct damage?
The blockage is most commonly caused by gallstones or sludge impacting the bile ducts. Autoimmune disease such as primary sclerosing cholangitis may affect the system. Other, less common causes of cholangitis include: A tumor.
What happens if bile duct is cut during surgery?
A cut or clipped bile duct is serious form of medical malpractice that can have devastating consequences for the patient. A cut bile cut can cause jaundice, intense stomach pain, cholangitis (i.e. an infection of the bile ducts) and a host of other awful side effects.
How do you treat a bile duct injury?
These injuries can typically be repaired primarily with sutures and placement of abdominal drains in the area . Conversely, major BDIs (i.e., Strasberg E) are associated with tissue loss (e.g., the common bile duct is clipped and transected) and require complex reconstruction with a Roux-en-Y hepaticojejunostomy.
Are bile duct injuries common?
Bile duct injury is a rare surgical complication, but it accounts for a major burden of morbidity and litigation. Bile duct injury can be the result of significant inflammation around the gallbladder or due to the variable anatomy of the biliary system.
What causes bile duct injury?
The most common cause of bile duct injuries is trauma to the bile duct during a laparoscopic cholecystectomy (gallbladder surgery). It is estimated that as many as 1% of gallbladder operations may lead to injury to the bile duct with subsequent development of a bile duct stricture.
What is a Hepaticojejunostomy procedure?
A hepaticojejunostomy is the surgical creation of a communication between the hepatic duct and the jejunum; a choledochojejunostomy is the surgical creation of a communication between the common bile duct (CBD) and the jejunum.
What is the Strasberg classification of bile duct injury?
Strasberg classification 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.
What are the four classes of bile duct injuries?
Bile duct injuries fall into four classes based on the Stewart-Way classification. Class I injury occurs when CBD is mistaken for the cystic duct, but the error is recognized before CBD is divided. Class II injuries involve damage to CHD from clips or cautery used too close to the duct.
What are the signs and symptoms of acute bile duct injury?
Jaundice is not always present immediately after bile duct injury. Some partial stenosis and isolated sectorial right duct lesions (Strasberg B and C) present with abdominal pain, pruritus, general weakness, fever and intermittent alteration of liver function tests.
What is Hannover classification of bile duct injuries?
proposed a new classification system named Hannover classification after comparing the classification of bile duct injury for consecutive 72 iatrogenic bile injuries after laparoscopic cholecystectomy. In the Hannover, bile duct injuries were divided into five types from A to E. Type A is peripheral bile leakage.