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Upper gastrointestinal bleeding associated with biliary diversion.

D Simonowitz, D Paloyan

    The American Surgeon
    |April 1, 1976
    PubMed
    Summary
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    External biliary drainage can lead to significant upper gastrointestinal bleeding, especially in patients with biliary tract infections. This complication occurred in 14 of 218 patients, with most cases appearing within three days post-operation.

    Area of Science:

    • Gastroenterology
    • Surgical Complications
    • Hepatobiliary Surgery

    Background:

    • External biliary drainage is a procedure used to manage biliary tract issues.
    • Upper gastrointestinal bleeding is a serious potential complication following surgical interventions.

    Purpose of the Study:

    • To investigate the incidence and characteristics of upper gastrointestinal bleeding after external biliary drainage.
    • To identify potential risk factors associated with this complication.

    Main Methods:

    • Retrospective analysis of 218 patients who underwent external biliary drainage.
    • Review of patient records to identify episodes of upper gastrointestinal bleeding, timing, and outcomes.

    Main Results:

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  • 14 out of 218 patients (6.4%) experienced significant upper gastrointestinal bleeding post-operation.
  • Hemorrhage typically occurred within three days of the procedure.
  • Most affected patients were febrile or septic at the time of surgery.
  • No hepatic injuries or need for hepatic resection were reported in these bleeding patients.

    • Conclusions:

    • Biliary tract infection combined with external biliary drainage may increase the risk of major upper gastrointestinal hemorrhage.
    • Early recognition and management of upper gastrointestinal bleeding are crucial in patients undergoing external biliary drainage, particularly those with concurrent infection.