Journal of Isfahan Medical School

Journal of Isfahan Medical School

Comparison of the outcomes of endoscopic stent placement versus sphincterotomy in bile leakage following laparoscopic cholecystectomy

Document Type : Original Article (s)

Authors
Hossein Nasrabadi 1
Javad Shokry 2
Hemmat Gholinia 3
Seyyed Hasan Abedi 4
1 Student Research Committee, Babol University of Medical Sciences, Babol, Iran
2 Associate Professor of Gastroenterology and Hepatology, Department of Internal Medicine, School of Medicine, Cancer Research Center, Health Research Institute, Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran
3 Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
4 Assistant Professor of Gastroenterology and Hepatology, Department of Internal Medicine, School of Medicine, Rouhani Hospital, Babol University of Medical Sciences, Rouhani, Iran
10.48305/jims.v43.i848.2020
Abstract
Introduction: Biliary fistulas may occur after cholecystectomy. Given the lack of studies on endoscopic management of post‑cholecystectomy biliary fistulas in Babol, the aim of this study was to evaluate the different endoscopic techniques used in the endoscopy center of Ayatollah Rouhani Hospital in Babol, the frequency of use of each technique, and the success rate of these methods.
Methods: This retrospective study was conducted on 226 patients with bile leakage following laparoscopic cholecystectomy who were referred to Ayatollah Rouhani Hospital in Babol between 2011 and 2021 and underwent ERCP. Demographic characteristics, leak site, the relationship between the site of bile leakage and the endoscopic treatment technique, number of ERCP sessions, type of therapeutic technique (biliary stent placement and sphincterotomy), and the frequency of common bile duct stones were extracted from patients’ records and analyzed.
Results: Of the 226 patients included, 95 (42%) were male and 131 (58%) were female. The mean age of patients was 56.28 ± 19.47 years. The most common site of leakage was the common bile duct. Overall, 34.5% of patients had common bile duct stones. There was no significant association between treatment technique, site of leakage, presence of biliary stones, and the number of ERCP sessions.
Keywords
Endoscopic retrograde cholangiopancreatography
laparoscopic cholecystectomy
postoperative complications
biliary fistula
Subjects
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Journal of Isfahan Medical School
Volume 43, Issue 848
4th Week, March
March and April 2026
Pages 2020-2024

  • Receive Date 06 May 2026
  • Accept Date 16 May 2026