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World J Gastroenterol. Jun 14, 2014; 20(22): 6924-6931
Published online Jun 14, 2014. doi: 10.3748/wjg.v20.i22.6924
Published online Jun 14, 2014. doi: 10.3748/wjg.v20.i22.6924
Non-surgical treatment of post-surgical bile duct injury: Clinical implications and outcomes
Young Ook Eum, Department of Internal medicine, Cheongju St. Mary's Hospital, Chungcheongbuk-do 360-568, South Korea
Joo Kyung Park, Jaeyoung Chun, Ji Kon Ryu, Yong-Tae Kim, Yong-Bum Yoon, Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul 110-744, South Korea
Sang-Hyub Lee, Jin-Hyeok Hwang, Department of Internal Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Gyeonggi-do 463-707, South Korea
Chang Jin Yoon, Department of Radiology, Seoul National University Bundang Hospital, Gyeonggi-do 463-707, South Korea
Ho-Seong Han, Department of Surgery, Seoul National University Bundang Hospital, Gyeonggi-do 463-707, South Korea
Author contributions: Eum YO and Park JK equally contributed to this work as first authors; Eum YO, Park JK and Hwang JH designed the research; Eum YO, Park JK, Chun JY, Lee SH, Yoon CJ and Han HS performed research; Eum YO, Park JK, Hwang JH analyzed data and drafted article; Ryu JK, Kim YT, Yoon YB and Hwang JH revised the paper with critically important intellectual content; Eun YO and Park JK wrote the paper.
Correspondence to: Jin-Hyeok Hwang, MD, PhD, Division of Gastroenterology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 166 Gumi-ro, Bundang-gu, Seongnam, Gyeonggi-do 463-707, South Korea. pdoctor7@snu.ac.kr
Telephone: +82-31-7877017 Fax: +82-31-7874051
Received: September 29, 2013
Revised: January 5, 2014
Accepted: February 17, 2014
Published online: June 14, 2014
Processing time: 260 Days and 9.3 Hours
Revised: January 5, 2014
Accepted: February 17, 2014
Published online: June 14, 2014
Processing time: 260 Days and 9.3 Hours
Core Tip
Core tip: It is not unusual to encounter patients with post-operative bile duct injuries (BDIs) in the setting of a specialized biliary clinic at tertiary hospitals. With regard to the patients’ best interests, it is important to determine the suitability of non-invasive treatment. We analyzed the clinical outcomes and various prognostic factors that affected the success rates of non-surgical treatments. The BDI type was the single most powerful factor that determined the success rate of non-surgical treatment. In addition, we emphasize that this series of 77 patients with post-operative BDI was one of the largest series of this type to be examined.