Implantation of Covered Self-expandable Metal Stent in the Common Bile Duct for the Treatment of Choledochoduodenal Fistula

Zhao, Shulei; Wang, Jing; Ge, Junbo; Zhang, Xiaohua; Liu, Jiyong; Zhang, An-zhong; Wang, Hongbo

doi:10.1097/mcg.0000000000000016

Cited by 11 publications

(7 citation statements)

References 5 publications

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“…However, following a report by Tanaka et al in 1983, endoscopic treatment has become the first choice (2). Endoscopic treatment is performed to prevent acute cholangitis (15,16), especially if the CDF can be healed with re-insertion of a covered metal stent (15) or through endoscopic closure (17). In cases of both duodenal and biliary obstruction caused by pancreatic Intern Med 55: 1591-1597, 2016 DOI: 10.2169/internalmedicine.55.6060…”

Section: Discussionmentioning

confidence: 99%

Choledochoduodenal Fistula after the Placement of a Partially Covered Metal Stent for Unresectable Pancreatic Cancer

et al. 2016

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A 75-year-old Japanese man with type 2 diabetes mellitus suffered from unresectable pancreatic head cancer and was admitted to our institution due to acute cholangitis. A partially covered metal stent was placed at that time. 11 months later, he was readmitted for acute cholangitis. Upper endoscopy revealed complete stent distal migration and a small hole on the oral side of the ampulla. While attempting cannulation into the hole, an upstream biliary tract was revealed. Accordingly, we diagnosed the patient to have a choledochoduodenal fistula. After metal stent removal and balloon dilation, we placed two 7 Fr plastic stents, which successfully relieved the patient's cholangitis.

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Section: Discussionmentioning

confidence: 99%

Choledochoduodenal Fistula after the Placement of a Partially Covered Metal Stent for Unresectable Pancreatic Cancer

et al. 2016

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“…Papers were reviewed elaborately, except for those without specific reference or already reported. A total of 48 case reports from 1983 to 2014 concerning 728 cases of CDF were finally accorded with the inclusion criteria [ 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 ]. Statistical calculations have not been built as they are lacking in the heterogeneity of data.…”

Section: Methodsmentioning

confidence: 99%

Choledochoduodenal fistula in Mainland China: a review of epidemiology, etiology, diagnosis and management

Wu¹,

Zhang

et al. 2015

Ann Surg Treat Res

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PurposeCholedochoduodenal fistula (CDF) is an extremely rare condition even in the most populous nations. However, diagnostic tools are inadequate for the young surgeon to be made aware of such a rare condition before surgery. Hence, basic understanding of the epidemiology, etiology, and management for this unusual but discoverable condition are necessary and essential.MethodsThe exclusive case reports of CDF, which were published from 1983 to 2014 concerning mainland Chinese people, were performed to review the epidemiology, etiology, and management.ResultsA total of 728 cases were incorporated into this review among 48 papers. More than half of the CDF cases were female (416) with an average age of 57.3 years. CDF was usually caused by cholelithiasis (573 of 728). Epigastric pain (589 of 728) and cholangitis (395 of 728) were the most common symptoms of CDF. CDF was usually detected and confirmed by endoscopic retrograde cholangiopancreatography (ERCP) (475 of 728) in Mainland China. The fistulas larger than 1 cm (82 of 654) were recommended for surgical biliary reconstruction. Fistulas between 0.5 cm and 1.0 cm (467 of 654) which were followed frequently by cholangitis attacks also required surgery; the rest were recommended to have stone removal and/or the application of an effective biliary drainage. Fistulas less than 0.5 cm (105 of 654) were usually received conservative therapy.ConclusionCDF should be considered in differential diagnosis of recurrent epigastric pain and cholangitis. A possible ERCP should be arranged to investigate carefully. Depending on the size of fistula and clinical presentation, different programs for CDF are indicated, ranging from drug therapy to choledochojejunostomy.

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“…For refractory cases, vagotomy with distal gastrectomy (antrectomy) and gastrojejunostomy with Billroth II reconstruction has been suggested, leaving the fistula intact 8. Closure of the fistula with a covered metal stent has been recently described9 (figure 6). 6…”

Section: Discussionmentioning

confidence: 99%

Choledochoduodenal fistula: an unusual case of pneumobilia

Fedidat

Safadi²,

Waksman

et al. 2014

BMJ Case Reports

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Pneumobilia is the finding of air in the biliary tree. Most cases are iatrogenic in origin, especially after sphincterotomy and after hepaticojejunostomy or choledochojejunostomy. In patients without such history, the presence of pneumobilia needs further investigation. Most patients are likely to have an enterobiliary fistula. Although patients may be asymptomatic, possible complications include gallstone ileus, Bouveret syndrome or recurrent episodes of cholangitis. We present a case of a 38-year-old man presenting with obstructive jaundice and pneumobilia in whom choledochoduodenal fistula was diagnosed at endoscopic retrograde cholangiography. A description of different types of choledochoduodenal fistulas and management recommendations are also provided.

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Implantation of Covered Self-expandable Metal Stent in the Common Bile Duct for the Treatment of Choledochoduodenal Fistula

Cited by 11 publications

References 5 publications

Choledochoduodenal Fistula after the Placement of a Partially Covered Metal Stent for Unresectable Pancreatic Cancer

Choledochoduodenal Fistula after the Placement of a Partially Covered Metal Stent for Unresectable Pancreatic Cancer

Choledochoduodenal fistula in Mainland China: a review of epidemiology, etiology, diagnosis and management

Choledochoduodenal fistula: an unusual case of pneumobilia

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