What substances pass through the common bile duct?
Bile salts and acids are transported in a fluid that contains water, sodium, chloride, and bicarbonates. This fluid is produced in the liver, and it serves to neutralize hydrochloric acid passed from the stomach into the small intestine.
How do you manage a CBD injury?
As Strasberg A injuries maintain continuity with the rest of the bile ducts, they are easily treated through endoscopic intervention. The objective is to decrease intraductal pressure distal to the bile duct leak. If endoscopy is not available, a T tube could be useful.
What is normal common bile duct?
The normal range of CBD diameter was 1.8mm to 5.9 mm. However, 65% of the study participants had a common bile duct diameter of < 4 mm. The majority of the patients irrespective of the age group had the diameter which ranges from 2–3.9 mm. But, most subjects in the old age group had a CBD diameter ranges from 4–5.9mm.
What is the common bile duct function?
A tube that carries bile from the liver and the gallbladder through the pancreas and into the duodenum (the upper part of the small intestine). It is formed where the ducts from the liver and gallbladder are joined. It is part of the biliary duct system.
What causes bile duct injury?
The most common cause of bile duct injuries is trauma to the bile duct during a laparoscopic cholecystectomy (gallbladder surgery). It is estimated that as many as 1% of gallbladder operations may lead to injury to the bile duct with subsequent development of a bile duct stricture.
Where is bile duct pain located?
Obstruction of the common bile duct may also lead to obstruction of the pancreatic duct because these ducts are usually connected. The most common symptom is upper abdominal pain on the right side of the body, where the liver and gallbladder are situated. The pain may start suddenly and be intense.
Where is the common bile duct located in the body?
How are bile duct injuries classified after surgery?
McMahon et al. proposed another classification of bile duct injuries after laparoscopic cholecystectomy. They classified the injury by the width of bile duct injury.
What are the different types of biliary injuries?
Classification of biliary injuries Type Criteria A Cystic duct leak or leak from small duct B Occlusion of an aberrant right hepatic d C Transection without ligation of an aberr D Lateral injury to a major bile duct
What is the bismuth classification of biliary stricture?
Bismuth classification of biliary stricture Adapted from Jarnagin WR, Blumgart LH. Benign biliary strictures. In: Blumgart LH, editor. Surgery of the liver, biliary tract, and pancreas. 4th edition. Philadelphia: Saunders; 2007. p. 634; with permission.
How are Strasberg injuries treated in the bile ducts?
The Strasberg classification is a helpful tool to decide the best intervention for each case according to etiological mechanism of injury. As Strasberg A injuries maintain continuity with the rest of the bile ducts, they are easily treated through endoscopic intervention.