Table 7. Comparison of endoscopic success rates and complications in patients with minor and major bile duct injuries based on ERCP diagnosis.
Endoscopic treatment | Minor BDI (n = 78) | Major BDI (n = 30) | Failed ERCP (n = 3) | Total (%) (n = 111) |
Primary management success rate, No. (%) | 73 (93.6 %) | 16 (53.3 %) | 0 | 89 (80.1 %) |
Complications, No. (%) | ||||
Persistent leak | 5 (6.4 %) | 2 (6.6 %) | 7 (6.3 %) | |
Mild pancreatitis | 2 (2.6 %) | 5 (16.6 %) | 7 (6.3 %) | |
Obstructed stent | 2 (2.6 %) | 2 (6.6 %) | 4 (3.6 %) | |
Missed diagnosis of CBD stones | 1 (1.3 %) | 1 (0.9 %) | ||
Cholangitis | 1 (1.3 %) | 1 (0.9 %) | ||
Sepsis/mortality | 1 (1.3 %) | 1 (33.3 %) | 2 (1.8 %) | |
Duration until resolution of leak, days | ||||
Mean (SD) | 3.7 (1.2) | 5.4 (3.1)1 | ||
Median (range) | 4 (2 – 7) | 4 (3 – 15) | ||
Secondary management procedures | ||||
Endoscopic | 4 | 12 | ||
Surgical | 1 | 1 | ||
Overall endoscopic success rate, No. (%) | 77 (98.7 %) | 16 (53.3 %)3 | 93 (83.7 %) | |
Number of ERCP sessions required | ||||
Mean (SD) | 1.9 (0.7) | 2.4 (1) | ||
Median (range) | 2 (1 – 4) | 2 (1 – 4) | ||
Definitive management procedures | ||||
Endoscopic | 6 | |||
Surgical | 2 | 17 |
ERCP, endoscopic retrograde cholangiopancreatography; BDI, bile duct injury.
P = 0.012.
Failed to control bile leak.
P < 0.0001.