Gastrointestinal Endoscopy
Volume 71, Issue 1 , Pages 99-104 , January 2010

Jackson Pratt drain fluid-to-serum bilirubin concentration ratio for the diagnosis of bile leaks

  • Peter Darwin, MD

      Affiliations

    • Corresponding Author InformationReprint requests: Peter Darwin, MD, Division of Gastroenterology-Hepatology, University of Maryland Medical System, 22 South Greene Street, N3W62, Baltimore, MD 21201.
    • ,
  • Eric Goldberg, MD
    • ,
  • Lance Uradomo, MD, MPH

Received 25 January 2008 ,Accepted 23 August 2009.

References 

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  2. Ahmad F, Saunders RN, Lloyd GM, et al. An algorithm for the management of bile leak following laparoscopic cholecystectomy. Ann R Coll Surg Engl. 2007;89:51–56
  3. Brugge WR, Rosenberg DJ, Alavi A. Diagnosis of postoperative bile leaks. Am J Gastroenterol. 1994;89:2178–2183
  4. Perkins A, Hilson A, Hall J. Global shortage of medical isotopes threatens nuclear medicine services. BMJ. 2008;337:a1577
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  6. Cogbill TH, Moore EE, Jurkovich GJ, et al. Severe hepatic trauma: a multi center experience with 1335 liver injuries. J Trauma. 1998;28:1422–1438
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  8. Shinhar S, Nobel M, Shimonov M, et al. Technetium-99 m-HIDA scintigraphy vs ERCP in demonstrating bile leaks post cholecystectomy. J Nucl Med. 1998;39:1802–1804
  9. Peters JH, Ollila D, Nichols KE, et al. Diagnosis and management of bile leaks following laparoscopic cholecystectomy. Surg Laparosc Endosc. 1994;4:163–170
  10. Kaldor A, Akopian G, Recabaren J, et al. Utility of liver function tests after laparoscopic cholecystectomy. Am Surg. 2006;27:1238–1240
  11. Halevy A, Gold-Deutch R, Negri M, et al. Are elevated liver enzymes and bilirubin levels significant after laparoscopic cholecystectomy in the absence of bile duct injury?. Ann Surg. 1994;219:362–364
  12. Bjorkman D, Carr-Locke D, Lichtenstein D, et al. Postsurgical bile leaks: endoscopic obliteration of the transpapillary pressure gradient is enough. Am J Gastroenterol. 1995;90:2128–2133
  13. Bridges A, Wilcox CM, Varadarajulu S. Endoscopic management of traumatic bile leaks. Gastrointest Endosc. 2007;65:1081–1085
  14. Hedenborg G, Jonsson G, Norman A, et al. Bile constituents in ascites fluid. Scand J Clin Lab Invest. 1988;48:543–552
  15. Elis A, Meisel S, Tisher T, et al. Ascitic fluid to serum bilirubin concentration ratio for the classification of transudates or exudates. Am J Gastroenterol. 1998;93:401–403
  16. Runyon BA. Ascitic fluid bilirubin concentration as a key to choleperitoneum. J Clin Gastroenterol. 1987;9:543–545
  17. Torzilli G, Olivari N, Del Fabbro D, et al. Bilirubin level fluctuation in drain discharge after hepatectomies justifies long-term drain maintenance. Hepatogastroenterology. 2005;52:1206–1210
  18. Truedson H. Cholecystectomy with intraperitoneal drain. Presence and significance of conjugated bilirubin in the drainage fluid. Acta Chir Scand. 1983;149:179–185

 DISCLOSURE: All authors disclosed no financial relationships relevant to this publication.

 See CME section; p. 139.

PII: S0016-5107(09)02415-8

doi: 10.1016/j.gie.2009.08.015

Gastrointestinal Endoscopy
Volume 71, Issue 1 , Pages 99-104 , January 2010

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