Successful treatment of radiofrequency-induced biliary lesions by interventional endoscopic retrograde cholangiography (ERC)
Radiofrequency ablation (RFA) of malignant liver lesions is considered a procedure with low morbidity. However, RFA performed close to hilar structures carries the risk of heat-induced biliary tract damage and subsequent septic episodes. We performed an analysis of complications in 42 patients with...
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| Veröffentlicht in: | Surgical endoscopy 2003-12, Vol.17 (12), p.1965-1970 |
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| creator | STIPPEL, D. L TÖX, U GOSSMANN, A BECKURTS, K. T. E HÖLSCHER, A. H |
| description | Radiofrequency ablation (RFA) of malignant liver lesions is considered a procedure with low morbidity. However, RFA performed close to hilar structures carries the risk of heat-induced biliary tract damage and subsequent septic episodes.
We performed an analysis of complications in 42 patients with 211 liver lesions treated with a combined approach of liver resection and RFA.
One patient died due to postoperative liver failure. There was one case of temporary liver dysfunction, one vena cava thrombosis, and six febrile episodes. Four of the six febrile episodes were related to bile duct injuries. They became evident 3-5 weeks after the procedure. All four patients were treated successfully by the placement of stents within the biliary tract. None of the patients developed a hepatic abscess.
Biliary tract damage is a complication that can occur weeks after RFA. Immediate endoscopic intervention can obviate the occurrence of prolonged septic complications. |
| doi_str_mv | 10.1007/s00464-002-9273-0 |
| format | Article |
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We performed an analysis of complications in 42 patients with 211 liver lesions treated with a combined approach of liver resection and RFA.
One patient died due to postoperative liver failure. There was one case of temporary liver dysfunction, one vena cava thrombosis, and six febrile episodes. Four of the six febrile episodes were related to bile duct injuries. They became evident 3-5 weeks after the procedure. All four patients were treated successfully by the placement of stents within the biliary tract. None of the patients developed a hepatic abscess.
Biliary tract damage is a complication that can occur weeks after RFA. Immediate endoscopic intervention can obviate the occurrence of prolonged septic complications.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-002-9273-0</identifier><identifier>PMID: 14577026</identifier><identifier>CODEN: SUREEX</identifier><language>eng</language><publisher>New York, NY: Springer</publisher><subject>Adult ; Aged ; Antineoplastic Combined Chemotherapy Protocols - administration & dosage ; Antineoplastic Combined Chemotherapy Protocols - therapeutic use ; Biliary Tract - diagnostic imaging ; Biliary Tract - injuries ; Biological and medical sciences ; Carcinoma, Hepatocellular - complications ; Carcinoma, Hepatocellular - surgery ; Catheter Ablation - adverse effects ; Chemotherapy, Adjuvant ; Cholangiopancreatography, Endoscopic Retrograde ; Colorectal Neoplasms - pathology ; Combined Modality Therapy ; Diseases of the digestive system ; Fatal Outcome ; Female ; Fever - etiology ; Fluorouracil - administration & dosage ; Follow-Up Studies ; Humans ; Leucovorin - administration & dosage ; Liver Failure - etiology ; Liver Neoplasms - complications ; Liver Neoplasms - secondary ; Liver Neoplasms - surgery ; Liver Neoplasms - therapy ; Male ; Medical sciences ; Middle Aged ; Neoadjuvant Therapy ; Neoplasm Recurrence, Local ; Organoplatinum Compounds ; Postoperative Complications - etiology ; Postoperative Complications - prevention & control ; Postoperative Complications - surgery ; Radiotherapy, Adjuvant ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Retrospective Studies ; Stents ; Thrombosis - etiology ; Treatment Outcome ; Vena Cava, Inferior</subject><ispartof>Surgical endoscopy, 2003-12, Vol.17 (12), p.1965-1970</ispartof><rights>2004 INIST-CNRS</rights><rights>Copyright Springer-Verlag 2003</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c354t-a5881d7baaf8ea3f2acb38135d1f92516450b659eb34cd0f4f869cfb0593e7cf3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15404808$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14577026$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>STIPPEL, D. L</creatorcontrib><creatorcontrib>TÖX, U</creatorcontrib><creatorcontrib>GOSSMANN, A</creatorcontrib><creatorcontrib>BECKURTS, K. T. E</creatorcontrib><creatorcontrib>HÖLSCHER, A. H</creatorcontrib><title>Successful treatment of radiofrequency-induced biliary lesions by interventional endoscopic retrograde cholangiography (ERC)</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><description>Radiofrequency ablation (RFA) of malignant liver lesions is considered a procedure with low morbidity. However, RFA performed close to hilar structures carries the risk of heat-induced biliary tract damage and subsequent septic episodes.
We performed an analysis of complications in 42 patients with 211 liver lesions treated with a combined approach of liver resection and RFA.
One patient died due to postoperative liver failure. There was one case of temporary liver dysfunction, one vena cava thrombosis, and six febrile episodes. Four of the six febrile episodes were related to bile duct injuries. They became evident 3-5 weeks after the procedure. All four patients were treated successfully by the placement of stents within the biliary tract. None of the patients developed a hepatic abscess.
Biliary tract damage is a complication that can occur weeks after RFA. Immediate endoscopic intervention can obviate the occurrence of prolonged septic complications.</description><subject>Adult</subject><subject>Aged</subject><subject>Antineoplastic Combined Chemotherapy Protocols - administration & dosage</subject><subject>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</subject><subject>Biliary Tract - diagnostic imaging</subject><subject>Biliary Tract - injuries</subject><subject>Biological and medical sciences</subject><subject>Carcinoma, Hepatocellular - complications</subject><subject>Carcinoma, Hepatocellular - surgery</subject><subject>Catheter Ablation - adverse effects</subject><subject>Chemotherapy, Adjuvant</subject><subject>Cholangiopancreatography, Endoscopic Retrograde</subject><subject>Colorectal Neoplasms - pathology</subject><subject>Combined Modality Therapy</subject><subject>Diseases of the digestive system</subject><subject>Fatal Outcome</subject><subject>Female</subject><subject>Fever - etiology</subject><subject>Fluorouracil - administration & dosage</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Leucovorin - administration & dosage</subject><subject>Liver Failure - etiology</subject><subject>Liver Neoplasms - complications</subject><subject>Liver Neoplasms - secondary</subject><subject>Liver Neoplasms - surgery</subject><subject>Liver Neoplasms - therapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neoadjuvant Therapy</subject><subject>Neoplasm Recurrence, Local</subject><subject>Organoplatinum Compounds</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - prevention & control</subject><subject>Postoperative Complications - surgery</subject><subject>Radiotherapy, Adjuvant</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Retrospective Studies</subject><subject>Stents</subject><subject>Thrombosis - etiology</subject><subject>Treatment Outcome</subject><subject>Vena Cava, Inferior</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkV1rHCEUhqW0NNukP6A3RQoNzYXp8WtmvAxL2gQChX5ci-McE8PsuNWZwEJ_fFx2IdArUZ731eNDyAcOlxyg_VoAVKMYgGBGtJLBK7LiSgomBO9ekxUYCUy0Rp2Qd6U8QsUN12_JCVe6bUE0K_Lv1-I9lhKWkc4Z3bzBaaYp0OyGmELGvwtOfsfiNCweB9rHMbq8oyOWmKZC-x2N04z5qcbqgRspTkMqPm2jpxnnnO5rE1L_kEY33cf9dvuwo1-uf64vzsib4MaC74_rKfnz7fr3-obd_fh-u766Y15qNTOnu44Pbe9c6NDJIJzvZcelHngwQvNGaegbbbCXyg8QVOga40MP2khsfZCn5PzQu82pzlNmu4nF41hfhGkptuVaGi5NBT_9Bz6mJdepihXcKK3rLRXiB8jnVErGYLc5buqnWA5278UevNjqxe69WKiZj8fipd_g8JI4iqjA5yPgindjyG7ysbxwWoHqoJPPe-WYPw</recordid><startdate>20031201</startdate><enddate>20031201</enddate><creator>STIPPEL, D. 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L ; TÖX, U ; GOSSMANN, A ; BECKURTS, K. T. E ; HÖLSCHER, A. H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c354t-a5881d7baaf8ea3f2acb38135d1f92516450b659eb34cd0f4f869cfb0593e7cf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Antineoplastic Combined Chemotherapy Protocols - administration & dosage</topic><topic>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</topic><topic>Biliary Tract - diagnostic imaging</topic><topic>Biliary Tract - injuries</topic><topic>Biological and medical sciences</topic><topic>Carcinoma, Hepatocellular - complications</topic><topic>Carcinoma, Hepatocellular - surgery</topic><topic>Catheter Ablation - adverse effects</topic><topic>Chemotherapy, Adjuvant</topic><topic>Cholangiopancreatography, Endoscopic Retrograde</topic><topic>Colorectal Neoplasms - pathology</topic><topic>Combined Modality Therapy</topic><topic>Diseases of the digestive system</topic><topic>Fatal Outcome</topic><topic>Female</topic><topic>Fever - etiology</topic><topic>Fluorouracil - administration & dosage</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Leucovorin - administration & dosage</topic><topic>Liver Failure - etiology</topic><topic>Liver Neoplasms - complications</topic><topic>Liver Neoplasms - secondary</topic><topic>Liver Neoplasms - surgery</topic><topic>Liver Neoplasms - therapy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neoadjuvant Therapy</topic><topic>Neoplasm Recurrence, Local</topic><topic>Organoplatinum Compounds</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - prevention & control</topic><topic>Postoperative Complications - surgery</topic><topic>Radiotherapy, Adjuvant</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Retrospective Studies</topic><topic>Stents</topic><topic>Thrombosis - etiology</topic><topic>Treatment Outcome</topic><topic>Vena Cava, Inferior</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>STIPPEL, D. L</creatorcontrib><creatorcontrib>TÖX, U</creatorcontrib><creatorcontrib>GOSSMANN, A</creatorcontrib><creatorcontrib>BECKURTS, K. T. E</creatorcontrib><creatorcontrib>HÖLSCHER, A. 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L</au><au>TÖX, U</au><au>GOSSMANN, A</au><au>BECKURTS, K. T. E</au><au>HÖLSCHER, A. H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Successful treatment of radiofrequency-induced biliary lesions by interventional endoscopic retrograde cholangiography (ERC)</atitle><jtitle>Surgical endoscopy</jtitle><addtitle>Surg Endosc</addtitle><date>2003-12-01</date><risdate>2003</risdate><volume>17</volume><issue>12</issue><spage>1965</spage><epage>1970</epage><pages>1965-1970</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><coden>SUREEX</coden><abstract>Radiofrequency ablation (RFA) of malignant liver lesions is considered a procedure with low morbidity. However, RFA performed close to hilar structures carries the risk of heat-induced biliary tract damage and subsequent septic episodes.
We performed an analysis of complications in 42 patients with 211 liver lesions treated with a combined approach of liver resection and RFA.
One patient died due to postoperative liver failure. There was one case of temporary liver dysfunction, one vena cava thrombosis, and six febrile episodes. Four of the six febrile episodes were related to bile duct injuries. They became evident 3-5 weeks after the procedure. All four patients were treated successfully by the placement of stents within the biliary tract. None of the patients developed a hepatic abscess.
Biliary tract damage is a complication that can occur weeks after RFA. Immediate endoscopic intervention can obviate the occurrence of prolonged septic complications.</abstract><cop>New York, NY</cop><pub>Springer</pub><pmid>14577026</pmid><doi>10.1007/s00464-002-9273-0</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Aged Antineoplastic Combined Chemotherapy Protocols - administration & dosage Antineoplastic Combined Chemotherapy Protocols - therapeutic use Biliary Tract - diagnostic imaging Biliary Tract - injuries Biological and medical sciences Carcinoma, Hepatocellular - complications Carcinoma, Hepatocellular - surgery Catheter Ablation - adverse effects Chemotherapy, Adjuvant Cholangiopancreatography, Endoscopic Retrograde Colorectal Neoplasms - pathology Combined Modality Therapy Diseases of the digestive system Fatal Outcome Female Fever - etiology Fluorouracil - administration & dosage Follow-Up Studies Humans Leucovorin - administration & dosage Liver Failure - etiology Liver Neoplasms - complications Liver Neoplasms - secondary Liver Neoplasms - surgery Liver Neoplasms - therapy Male Medical sciences Middle Aged Neoadjuvant Therapy Neoplasm Recurrence, Local Organoplatinum Compounds Postoperative Complications - etiology Postoperative Complications - prevention & control Postoperative Complications - surgery Radiotherapy, Adjuvant Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Retrospective Studies Stents Thrombosis - etiology Treatment Outcome Vena Cava, Inferior |
| title | Successful treatment of radiofrequency-induced biliary lesions by interventional endoscopic retrograde cholangiography (ERC) |
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