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Biliary fistulae and haemorrhage
1Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA.
Bailliere'S Clinical Gastroenterology
|March 26, 1998
Summary
Percutaneous biliary drainage is a leading cause of hemobilia. This study details percutaneous treatments for bile duct fistulae, often caused by trauma, originating from hepatic or portal veins.
Area of Science:
- Interventional Radiology
- Vascular Surgery
- Gastroenterology
Background:
- Hemobilia, or bleeding into the biliary tree, can stem from various causes.
- Percutaneous biliary drainage is identified as the most frequent etiology.
- Bile duct fistulae, often linked to trauma, can involve hepatic or portal veins.
Purpose of the Study:
- To discuss percutaneous methods for treating hemobilia.
- To detail the management of bile duct fistulae.
- To cover hemobilia arising from percutaneous biliary drainage, hepatic, or portal veins.
Main Methods:
- Review of percutaneous techniques for hemobilia management.
- Discussion of interventional radiology approaches.
- Case study analysis (implied).
Main Results:
- Percutaneous biliary drainage is the primary cause of hemobilia.
- Trauma is a common cause of bile duct fistulae involving hepatic/portal veins.
- Percutaneous methods offer effective treatment options.
Conclusions:
- Percutaneous interventions are crucial for managing hemobilia.
- Effective treatment strategies exist for traumatic bile duct fistulae.
- A comprehensive approach to percutaneous management is essential.