关键词: 胆道外科, 出血, 内镜, 胆道镜, 数字减影血管造影, 介入治疗

Abstract: Diagnosis and treatment of hemorrhage after biliary surgery        YIN Lei*, GE Nai-jian, GAO Dao-jian, et al.*Biliary Tract Surgery DepartmentⅡ,Third Affiliated Hospital of Naval Medical University(Eastern Hepatobiliary Surgery Hospital)，Shanghai 200438,China
Corresponding authors: ZHANG Yong-jie,E-mail：63834066@
qq.com;YANG Ye-fa, E-mail：yangyefa66@163.com;HU Bing, E-mail：drhubing@aliyun.com;YAN Zhen-lin, E-mail：yuwangtaiguo@163.com;LIU Hui,E-mail：liuhuigg@hotmail.com
YIN Lei, GE Nai-jian, GAO Dao-jian, WANG Zhen-meng and YANG Ying-cheng are the first authors who contributed equally to the article
Abstract    Hemorrhage after biliary surgery(HBS) was one of the most serious complications, which seriously endangers patients' lives and medical safety.  Experts were organized from related departments in Third Affiliated Hospital of Naval Medical University(Eastern Hepatobiliary Surgery Hospital) to write diagnoses and treatment strategies for HBS, in order to provide references for the prevention and treatment of HBS. There were various complex causes for HBS, so it was very important for early detection. In the clinical decision-making of HBS treatment, factors such as bleeding time, bleeding cause, bleeding location, bleeding degree, patients' condition and experiences should be comprehensively considered. Under the mechanism of the multidisciplinary team, the reasonable individual treatment plan should be formulated to maximize the clinical benefit of patients.

Key words: biliary surgery, hemorrhage, endoscopy, choledochoscopy, digital subtraction angiography, interventional therapy