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World J Gastrointest Surg. Dec 27, 2023; 15(12): 2709-2718
Published online Dec 27, 2023. doi: 10.4240/wjgs.v15.i12.2709
Post-cholecystectomy iatrogenic bile duct injuries: Emerging role for endoscopic management
Mohamed H Emara, Mohammed Hussien Ahmed, Mohamed I Radwan, Emad Hassan Emara, Magdy Basheer, Ahmed Ali, Asem Ahmed Elfert
Mohamed H Emara, Mohammed Hussien Ahmed, Department of Hepatology, Gastroenterology and Infectious Diseases, Kafrelsheikh University, Kafr-Elshikh 33516, Egypt
Mohamed I Radwan, Department of Tropical Medicine, Zagazig University, Zagazig 44519, Egypt
Emad Hassan Emara, Department of Diagnostic and Interventional Radiology, Kafrelsheikh University, Kafr-Elshikh 33516, Egypt
Magdy Basheer, Department of Surgery, Mansoura University, Mansours 44176, Egypt
Ahmed Ali, Department of Emergency, Hargeisa Group Hospital, Hargeisa 1235, Somalia
Asem Ahmed Elfert, Department of Tropical Medicine, Tanta University, Tanta 33120, Egypt
Author contributions: Emara MH, Ahmed MH formulated the idea; Emara MH, Ahmed MH, Radwan MI, Emara EH reviewed the literature; Emara MH, Ahmed MH, Basheer M, Ali A, Elfert AA analysed the literature; Emara MH, Ahmed MH, Radwan MI, Elfert AA criticized the endoscopy; Emara EH criticized the radiology; Basheer M criticized the surgery; Ali A criticized the emergencies; Emara MH, Ahmed MH drafted the manuscript; All authors reviewed and agreed the final manuscript.
Conflict-of-interest statement: All authors confirm that no conflict-of-interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Mohamed H Emara, MD, MSc, Professor, Department of Hepatology, Gastroenterology and Infectious Diseases, Kafrelsheikh University, Algeish street, Kafr-Elshikh 33516, Egypt. emara_20007@yahoo.com
Received: September 20, 2023
Peer-review started: September 20, 2023
First decision: October 20, 2023
Revised: October 26, 2023
Accepted: November 24, 2023
Article in press: November 24, 2023
Published online: December 27, 2023
Core Tip

Core Tip: Post-cholecystectomy iatrogenic bile duct injuries are not uncommon and hence deserve paying attention from surgeons, gastroenterologists and interventional radiologists. Multidisciplinary team is advised aiming to early and appropriately diagnose such injuries, tailor treatment for cases on an individual base. Surgical treatment is the immediate solution for bile duct injuries diagnosed intraoperative in the context of available experienced hepato-biliary surgeon. Endoscopic treatment looks promising and effective treatment options for injuries diagnosed after the surgery, while interventional endoscopic procedures looks valuable for patients with failed endoscopy and patients who had altered anatomy.