Fistulo-Enteric Anastomosis- Proposed New Surgical Technique for the Management of Biliocutaneous Fistula

Abstract

BACKGROUND External biliary fistula (Biliocutaneous fistula) are known to occur following trauma as well as surgery. A multidisciplinary approach including Internal Medicine, Surgery, Endoscopy and Interventional Radiology Specialists are required to manage the complex disease. Surgery is reserved for cases where expectant and endoscopic management fails. Till today the procedure of choice is hepaticojejunostomy. We propose to introduce a new technique: fistula-enteric anastomosis, which has significant advantages as compared to the standard hepaticojejunostomy procedures. This technique not only reduces the post-operative complications associated with a major procedure like Hepaticojejunostomy, but is also easier to perform not requiring highly skilled resources and expertise and has lesser post-operative morbidity.