ERCP combined with colonoscopy in the treatment of biliary-colonic fistula: case report and literature review

He, Hongfei; Yu, Tingting; Li, Yaoting; Hou, Senlin; Zhang, Lichao

doi:10.1093/gastro/goad001

Gastroenterology Report

2022

DOI: 10.1093/gastro/goad001

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ERCP combined with colonoscopy in the treatment of biliary-colonic fistula: case report and literature review

Hongfei He

Tingting Yu

Yaoting Li

et al.

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2024

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Biliary Colonic Fistula Formation in the Setting of Obstructive Cholelithiasis

Mushtaq,

Khan,

Tran

et al. 2024

ACG Case Rep J

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Biliary enteric fistulas are rare form of internal biliary fistula encountered in <1% of patients with biliary disease while cholecystocolic fistulas are even rarer with reported incidence of 0.06%–0.14% in patients undergoing cholecystectomy. We present a case of biliary colonic fistula that developed in the context of obstructive cholelithiasis, emphasizing a pathological process involving chronic inflammation due to gallstone with a gradual erosion into the surrounding structure. A high index of suspicion is required for diagnosis, given the presentation with nonspecific symptoms. Given the risk of imminent cholangitis, sepsis, and liver parenchymal damage, early treatment with cholecystectomy with the closure of the fistula is recommended.

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Biliary Colonic Fistula Formation in the Setting of Obstructive Cholelithiasis

Mushtaq,

Khan,

Tran

et al. 2024

ACG Case Rep J

View full text Add to dashboard Cite

show abstract

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ERCP combined with colonoscopy in the treatment of biliary-colonic fistula: case report and literature review

Cited by 1 publication

References 6 publications

Biliary Colonic Fistula Formation in the Setting of Obstructive Cholelithiasis

Biliary Colonic Fistula Formation in the Setting of Obstructive Cholelithiasis

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