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Adult Blunt Hepatic Trauma algorithm

Adult Blunt Hepatic Trauma Notes:
Introduction
Historic Perspective
Table 1 Note A  Note B Note C Note D Note E Note F Table 3 Note G Note H Note I Note J Note K Note L Note M Note N Note O  Note P References  

  

 
Western Trauma Association
Management of Adult Blunt Hepatic Trauma

 

Annotation for Point O

 

 Although most peripheral biliary leaks will seal without treatment, continued high output biliary drainage may warrant adjunctive ERCP to aid in healing. Ponsky and coworkers46 suggest stenting rather than spincterotomy for more effective resolution of biliary leaks. Neither the optimal duration of leak before ERCP nor the duration of leak before operative consideration has been studied.

 

  
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