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| 1 | Endoscopic management of postcholecystectomy biliary leakage显示文摘BACKGROUND: Biliary leak is an uncommon but significant complication following cholecystectomy. Endotherapy is an established method of treatment. However, the optimal intervention is not known. METHOD: Eighty-five patients with postcholecystectomy biliary leaks from July 2000 to March 2009 were retrospectively evaluated. RESULTS: The study population was 20 males and 65 females with a mean age of 42.47 years. Patients presented with abdominal pain (46), jaundice (23), fever (23), abdominal distension (42), or bilious abdominal drain (67). Endoscopic retrograde cholangiopancreatography detected a leak at the cystic duct stump in 45 patients, stricture with middle common bile duct leak in 4, leak from the right hepatic duct in 3, and a ligated common bile duct in 32. Twelve also had bile duct stones. One had a broken T-tube with stones Endotherapy was possible in 53 patients. Three patients with stones, one with a broken T-tube with stones, and 4 with stricture of the common bile duct with a leak were managed with sphincterotomy and stenting. Eight patients with a cystic duct stump leak with stones were managed with sphincterotomy and stone extraction. Three outpatients and 12 inpatients with a cystic duct stump leak were managed with sphincterotomy and stent and sphincterotomy and nasobiliary drain, respectively. Five patients with a cystic duct stump leak were managed with stenting. Sixteen with coagulopathy were managed with only nasobiliary drain (9) or stent (7). Leak closure was achieved in 100% patients Four developed mild pancreatitis which improved with conservative treatment.CONCLUSIONS: Endoscopic intervention is a safe and effective method of treatment of postcholecystectomy biliary leaks. However, management should be individualized based on factors such as outpatients or inpatients, presence of stone, stricture, ligature, or coagulopathy. | Virendra Singh Gurpreet Singh Ganga R Verma Rajesh Gupta | 2010 | Hepatobiliary & Pancreatic Diseases International2010，9，4： | 9 |
| 2 | Fiber forming poly(urethane acylsemicarbazides)with photochromic behavior显示文摘 | Aruna P Saimani S Ganga R | 2004 | Journal of Macromolecular Science Part A-pure and Applied Chemistry2004，7，： | 1 |
| 3 | Poly(urethane acylsemicarba- zides) with photo chromic behavior显示文摘 | Aruna P Saimanis Ganga R | 2004 | J Macromolecular Sci Part A2004，41，7： | 1 |
| 4 | Manipulation of DET1 expression in tomato results in photomorphogenic phenotypes caused by post-transcriptional gene silencing显示文摘 | Ganga R D Ageeth V T Anna C M | 2004 | The Plant Journal2004，，： | 1 |
| 5 | Poly(Urethane Acylsemicarbazides) with photochromic behavior显示文摘 | ARUNA P SAIMANI S GANGA R | 2004 | Journal of Maeromolecu- lar Science Part A:Pure and Applied Chemistry2004，41，7： | 1 |
| 6 | Preoperative early warning scores can predict in - hospital mortality and critical care admission following e- mergency surgery 显示文摘 | Garcea G Ganga R Neal CP | 2010 | J Surg Res2010，159，2： | 1 |
| 7 | Quantification of phytoehemical constituents and in-vitro antioxidant activity of Mesua ferrea leaves 显示文摘 | Narender PD Ganga BR Sambasiva R | 2012 | Asian Pacific Tropi Biomed2012，，： | 1 |
| 8 | Synthesis and characterization of liquid-crystalline polyesters with chiral and achrial twin spacers显示文摘 | Rukmani S Ganga R | 2001 | J Poly Sci Part A Poly Chem2001，39，： | 1 |
| 9 | Observation of a topological phase by means of nonplanar Mach-Zehnder interferometer 显示文摘 | Chiao R Y Antaramian A Ganga K M | 1988 | Physical Revew Letters1988，60，13： | 1 |
| 10 | Fiber forming poly( urethane acylsemicarbazides) with photochromic behavior显示文摘 | Aruna P Sanimani R Ganga R | 2004 | Journal of Macromolecular Science( Part A) :Pure and Applied Chemistry2004，，7： | 1 |
| 11 | Fiber forming poly,(urethane acylsemicarbazides) with photochromic behavior显示文摘 | ARUNA P SAINMANI S GANGA R | | 0，，： | 1 |
| 12 | Effect of dietary lipids on plasma fatty acid profiles and prostaglandin and leptin production in gilthead seabream (Sparus aurata)显示文摘 | Ganga R Bell J G Montero D | 2005 | Comp Biochem Physiol B2005，142，4： | 1 |
| 13 | Effect of dietary lipids on plasma fatty acid profiles and prostaglandin and leptin production in gilthead seabream (Sparus aurata)显示文摘 | Ganga R Bell J G Montero D | 2005 | Comparative Biochemistry and Physiology: Part B2005，142，4： | 1 |
| 14 | Synthesis and characterization of liquid crystalline polyesters with chiral and achrial twin spacers显示文摘 | Rukmani S Ganga R | 2001 | J Poly Sci Part A Poly Chern2001，39，： | 1 |
| 15 | Investigation on monotropic liquid crystalline polyurethanes based on biphenylol显示文摘 | Haridas K R Radhakrishnan Ganga | 1995 | Polymer science(Part A): Polymer Chemistry1995，33，： | 1 |
| 16 | J Macramole Sci Part A:Pure and Appl Chem 显示文摘 | Aruna P Sanimani R Ganga R | 2004 | 7:8732004，7，： | 1 |
| 17 | Aqueous dispersion of polyurethane polyacrylic acid multiblock copolymers through living radical 显示文摘 | Sundar S T Ganga R | 2003 | J Appl Polym Sci2003，87，6： | 1 |
| 18 | Tensile properties of natural fabric hildegardia pepulifolia/polycarbonate toughened epoxy composites 显示文摘 | VARADA R A BABU R G GANGA D L | 2004 | Polymer Composites2004，25，6： | 1 |
| 19 | Micro-X-Ray Fluorescence, Micro-X-Ray Absorption Spectroscopy, and Micro-X-Ray Diffraction Investigation of Lead Speciation after the Addition of Different Phosphorus Amendments to a Smelter-Contaminated Soil显示文摘 | Baker Lucas R Pierzynski Gary M Hettiarachchi Ganga M Scheckel Kirk G Newville Matthew | 2014 | Journal of Environmental Quality2014，，： | 1 |
| 20 | Staphylococcus aureus skin/soft-tissue infections: the impact of SCCmec type and Panton-Valentine leukocidin显示文摘 | Jahamy H Ganga R Al Raiy B | 2008 | Scand J Infect Dis2008，40，8： | 1 |
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