A329 CAN THE CALGARY BILE LEAK RULE AVOID THE NEED FOR REPEAT ERCPS IN OTTAWA? A VALIDATION STUDY

摘要

BackgroundERCP with biliary stent placement is currently the standard treatment for postsurgical bile leaks. However, the best method (ERCP or gastroscopy) and timing of stent removal is controversial. The Calgary Bile Leak Rule suggests that patients who present with bile leaks after a laparoscopic cholecystectomy, have a normal postsurgical ALP, and have a small or no leak with no other pathology identified on initial ERCP can safely have their stent removed via gastroscopy 4 to 8 weeks after stent insertion.