Cai HQ, Pan GQ, Luan SJ, Wang J, Jiao Y. Is there a place for endoscopic management in post-cholecystectomy iatrogenic bile duct injuries? World J Gastrointest Surg 2024; 16(5): 1218-1222 [PMID: 38817279 DOI: 10.4240/wjgs.v16.i5.1218]
Corresponding Author of This Article
Yan Jiao, MD, PhD, Surgeon, Department of Hepatobiliary and Pancreatic Surgery, General Surgery Center, The First Hospital of Jilin University, No. 71 Xinmin Street, Changchun 130021, Jilin Province, China. lagelangri1@126.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Editorial
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. May 27, 2024; 16(5): 1218-1222 Published online May 27, 2024. doi: 10.4240/wjgs.v16.i5.1218
Is there a place for endoscopic management in post-cholecystectomy iatrogenic bile duct injuries?
Hong-Qiao Cai, Guo-Qiang Pan, Shou-Jing Luan, Jing Wang, Yan Jiao
Hong-Qiao Cai, Yan Jiao, Department of Hepatobiliary and Pancreatic Surgery, General Surgery Center, The First Hospital of Jilin University, Changchun 130021, Jilin Province, China
Guo-Qiang Pan, Department of General Surgery, Qilu Hospital, Shandong University, Jinan 250000, Shandong Province, China
Shou-Jing Luan, Department of Endocrinology and Metabolism, Weifang People’s Hospital, Weifang 261041, Shandong Province, China
Jing Wang, Shandong Medical College, Jinan 250000, Shandong Province, China
Co-first authors: Hong-Qiao Cai and Guo-Qiang Pan.
Author contributions: Jiao Y designed the overall concept and outline of the manuscript; Cai HQ and Pan GQ contributed to the discussion and design of the manuscript; Luan SJ and Wang J contributed to the writing, and editing the manuscript, illustrations, and review of literature; Cai HQ and Pan GQ contributed equally to this manuscript.
Supported byYouth Development Fund Task Book of the First Hospital of Jilin University, No. JDYY13202210.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
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: Yan Jiao, MD, PhD, Surgeon, Department of Hepatobiliary and Pancreatic Surgery, General Surgery Center, The First Hospital of Jilin University, No. 71 Xinmin Street, Changchun 130021, Jilin Province, China. lagelangri1@126.com
Received: December 27, 2023 Revised: March 2, 2024 Accepted: April 7, 2024 Published online: May 27, 2024 Processing time: 148 Days and 5.8 Hours
Abstract
In this editorial we comment on the article by Emara et al published in the recent issue of the World Journal of Gastrointestinal Surgery. Previously, surgery was the primary treatment for bile duct injuries (BDI). The treatment of BDI has advanced due to technological breakthroughs and minimally invasive procedures. Endoscopic and percutaneous treatments have largely supplanted surgery as the primary treatment for most instances in recent years. Patient management, including the specific technique, is typically impacted by local knowledge and the kind and severity of the injury. Endoscopic therapy is a highly successful treatment for postoperative benign bile duct stenosis and offers superior long-term outcomes compared to surgical correction. Based on the damage features of BDI, therapeutic options include endoscopic duodenal papillary sphincterotomy, endoscopic nasobiliary drainage, and endoscopic biliary stent implantation.
Core Tip: Post-cholecystectomy iatrogenic bile duct injuries (BDI) are not uncommon and hence deserve more attention. The treatment of BDI has evolved with the improvements in technology and minimally invasive procedure. Endoscopic treatment looks promising and effective treatment options for iatrogenic BDI.
