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Iatrogenic hemobilia: how to approach it
N J Lygidakis1, M Okazaki, G Damtsios
1Department of Surgery, Academic Medical Center, University of Amsterdam, The Netherlands.
Hemobilia after surgical or non-surgical interventions on the liver, biliary tree and pancreas is a serious postoperative complication. Two different therapeutic approaches i.e. superselective hepatic artery embolization and surgical management were retrospectively evaluated in a group of 19 patients. Superselective embolization showed a lower mortality and morbidity than did surgery. Superselective embolization resulted in a higher success rate in terms of control of bleeding and identification of the origin of the bleed.
Hemobilia after surgical or non-surgical interventions on the liver, biliary tree and pancreas is a serious postoperative complication. Two different therapeutic approaches i.e. superselective hepatic artery embolization and surgical management were retrospectively evaluated in a group of 19 patients. Superselective embolization showed a lower mortality and morbidity than did surgery. Superselective embolization resulted in a higher success rate in terms of control of bleeding and identification of the origin of the bleed.