caa a22 4500 60624753X CHVBK 20210128101345.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-013-0958-5 doi (NATIONALLICENCE)springer-10.1007/s12262-013-0958-5 Prevention of Biliary Leakage after Removal of T-tube in Immunocompromised Patients [Elektronische Daten] [Ehsan Soltani, Ali Mehrabi Bahar, Paria Dehghanian, Monavar Afzal Aghaei, Samira Mozaffari] Biliary leakage after T-tube removal is an important complication which can be lethal especially in patients who received immunosuppressant agents. The purpose of the study is to determine a method which can evaluate the completion of tract formation in high-risk patients. Participants include 46 patients who were candidates for open cholecystectomy and common bile duct (CBD) exploration and T-tube insertion. Twelve of patients received corticosteroids and were divided into two groups. In the first group, T-tube was removed conventionally, but in the other group, we performed a "fistulography” 1month postoperative to evaluate maturity of tract between CBD and the skin. Biliary peritonitis was seen in half of patients who are managed conventionally, but no complication was detected in patients who underwent fistulography. Fistulography is suggested to be done before T-Tube removal in immunocompromised patients in order to detect tract formation, which is effective in reduction of postremoval complications. Association of Surgeons of India, 2013 Biliary leakage nationallicence Fistulography nationallicence T-tube removal nationallicence Tract Formation nationallicence Immunocompromised patients nationallicence Soltani Ehsan Acute Care Surgery Research Center, Faculty of Medicine, Taleghani Hospital, Mashhad University of Medical Sciences, Mashhad, Iran aut Mehrabi Bahar Ali Surgical Oncology Research Center, Faculty of Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Ibne Sina Street, Mashhad, Iran aut Dehghanian Paria Acute Care Surgery Research Center, Faculty of Medicine, Taleghani Hospital, Mashhad University of Medical Sciences, Mashhad, Iran aut Afzal Aghaei Monavar Surgical Oncology Research Center, Faculty of Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Ibne Sina Street, Mashhad, Iran aut Mozaffari Samira Acute Care Surgery Research Center, Faculty of Medicine, Taleghani Hospital, Mashhad University of Medical Sciences, Mashhad, Iran aut Indian Journal of Surgery Springer India 77(2015-12-01), 645-649 0972-2068 77<645 2015 77 12262 https://doi.org/10.1007/s12262-013-0958-5 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-013-0958-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Soltani Ehsan Acute Care Surgery Research Center, Faculty of Medicine, Taleghani Hospital, Mashhad University of Medical Sciences, Mashhad, Iran aut NATIONALLICENCE 700 1- Mehrabi Bahar Ali Surgical Oncology Research Center, Faculty of Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Ibne Sina Street, Mashhad, Iran aut NATIONALLICENCE 700 1- Dehghanian Paria Acute Care Surgery Research Center, Faculty of Medicine, Taleghani Hospital, Mashhad University of Medical Sciences, Mashhad, Iran aut NATIONALLICENCE 700 1- Afzal Aghaei Monavar Surgical Oncology Research Center, Faculty of Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Ibne Sina Street, Mashhad, Iran aut NATIONALLICENCE 700 1- Mozaffari Samira Acute Care Surgery Research Center, Faculty of Medicine, Taleghani Hospital, Mashhad University of Medical Sciences, Mashhad, Iran aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 645-649 0972-2068 77<645 2015 77 12262