We are independent & ad-supported. We may earn a commission for purchases made through our links.
Advertiser Disclosure
Our website is an independent, advertising-supported platform. We provide our content free of charge to our readers, and to keep it that way, we rely on revenue generated through advertisements and affiliate partnerships. This means that when you click on certain links on our site and make a purchase, we may earn a commission. Learn more.
How We Make Money
We sustain our operations through affiliate commissions and advertising. If you click on an affiliate link and make a purchase, we may receive a commission from the merchant at no additional cost to you. We also display advertisements on our website, which help generate revenue to support our work and keep our content free for readers. Our editorial team operates independently of our advertising and affiliate partnerships to ensure that our content remains unbiased and focused on providing you with the best information and recommendations based on thorough research and honest evaluations. To remain transparent, we’ve provided a list of our current affiliate partners here.

What Is an Intraoperative Cholangiogram?

Mary McMahon
Updated Mar 03, 2024
Our promise to you
The Health Board is dedicated to creating trustworthy, high-quality content that always prioritizes transparency, integrity, and inclusivity above all else. Our ensure that our content creation and review process includes rigorous fact-checking, evidence-based, and continual updates to ensure accuracy and reliability.

Our Promise to you

Founded in 2002, our company has been a trusted resource for readers seeking informative and engaging content. Our dedication to quality remains unwavering—and will never change. We follow a strict editorial policy, ensuring that our content is authored by highly qualified professionals and edited by subject matter experts. This guarantees that everything we publish is objective, accurate, and trustworthy.

Over the years, we've refined our approach to cover a wide range of topics, providing readers with reliable and practical advice to enhance their knowledge and skills. That's why millions of readers turn to us each year. Join us in celebrating the joy of learning, guided by standards you can trust.

Editorial Standards

At The Health Board, we are committed to creating content that you can trust. Our editorial process is designed to ensure that every piece of content we publish is accurate, reliable, and informative.

Our team of experienced writers and editors follows a strict set of guidelines to ensure the highest quality content. We conduct thorough research, fact-check all information, and rely on credible sources to back up our claims. Our content is reviewed by subject-matter experts to ensure accuracy and clarity.

We believe in transparency and maintain editorial independence from our advertisers. Our team does not receive direct compensation from advertisers, allowing us to create unbiased content that prioritizes your interests.

An intraoperative cholangiogram is imaging of the bile ducts during a surgical procedure. This helps the surgeon get oriented in the body and can reduce the risk of injury to the bile ducts. Such injuries can require one or more surgeries to repair and can have a negative impact on patient health. Studies on the use of intraoperative cholangiography suggest it can be a cost-effective measure for protecting patient safety.

Surgeons may request an intraoperative cholangiogram in any procedure when they will be working with or around the bile ducts, particularly in a cholecystectomy, where the practitioner removes the gallbladder. These procedures are often performed endoscopically, with the use of tools inserted through small incisions and guided by a camera. It can be easy to get disoriented inside the body during such surgeries, and a surgeon may confuse structures near the gallbladder or accidentally injure the bile duct with pressure or clipping.

In the intraoperative cholangiogram, a technician injects a contrast medium that will highlight the bile ducts on an x-ray. Once the medium has a chance to circulate, a series of images can be taken to watch it move through the bile ducts. The resulting images highlight the anatomical structures in the area and provide important information for the surgeon about the location of the common bile duct. If there is a problem as a result of surgery, the surgeon can look for indications of potential trouble, which might include leaking contrast medium or an area of obstruction.

When a surgeon recommends a gallbladder removal or other surgery in this area, this may include a request for an intraoperative cholangiogram. Information about the test can be provided to the patient along with other material about the surgery. Surgeons typically strongly recommend imaging because it makes the surgery safer for the patient. General surgeons and others who perform gallbladder removal also have concerns about malpractice accusations, and thus take reasonable precautions to reduce the risk of complications and identify surgical errors as quickly as possible.

This test does carry some risks, as some patients are allergic to contrast media. People should discuss their allergies before the surgery so the doctor can determine if the intraoperative cholangiogram is likely to be safe. The risks of not checking on the bile ducts during surgery could be the primary concern. Patients who do not receive such imaging might need to go under anesthesia again for a corrective surgery to address an issue caused during the initial procedure, and this can increase the chance of infection and other complications.

The Health Board is dedicated to providing accurate and trustworthy information. We carefully select reputable sources and employ a rigorous fact-checking process to maintain the highest standards. To learn more about our commitment to accuracy, read our editorial process.
Mary McMahon
By Mary McMahon

Ever since she began contributing to the site several years ago, Mary has embraced the exciting challenge of being a The Health Board researcher and writer. Mary has a liberal arts degree from Goddard College and spends her free time reading, cooking, and exploring the great outdoors.

Discussion Comments
Mary McMahon
Mary McMahon

Ever since she began contributing to the site several years ago, Mary has embraced the exciting challenge of being a...

Learn more
The Health Board, in your inbox

Our latest articles, guides, and more, delivered daily.

The Health Board, in your inbox

Our latest articles, guides, and more, delivered daily.