Common bile duct T-tubes: A caveat and recommendations for management

L. K. Jacobs, V. Shayani, J. M. Sackier

Research output: Contribution to journalArticlepeer-review

Abstract

Operations on the common bile duct can result in severe long-term consequences. To prevent some of these complications, it is common practice to drain the biliary tree with a T-tube. The T-tube is usually removed 2 weeks after it was placed. There have been numerous reports of bile leak following T-tube removal in the literature. These leaks can result in bile ascites, biloma, or bile peritonitis. Control of bile leaks can be accomplished in a number of ways, including endoscopically or radiologically placed stents or drains and radiologic techniques to drain the fluid collections. We describe a novel technique that can be utilized at the time of T-tube removal that will allow immediate control of the bile leak and prevent the complications of bile accumulation within the peritoneal cavity. We have performed fluoroscopic removal of T-tubes on two patients and found no complications with the technique. We have successfully visualized the T-tube tract in both patients. The T-tube tract can be visualized at the time of T-tube removal in an effort to prevent the complications of tract disruption and subsequent bile leak.

Original languageEnglish (US)
Pages (from-to)60-62
Number of pages3
JournalSurgical endoscopy
Volume12
Issue number1
DOIs
StatePublished - Jan 1998
Externally publishedYes

Keywords

  • Bile leak
  • Biliary tree
  • T-tube

ASJC Scopus subject areas

  • Surgery

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