Traitement des fistules biliobronchiques et bilio-pleuro-bronchiques d’origine hydatique par thoracotomie

Kabiri, El Hassane; Chafik, A.; Aziz, Said Al; Maslout, A El; Benosman, A.

doi:10.1016/s0003-3944(00)00256-x

Cited by 19 publications

(7 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Postoperative complications vary according to the series; a study carried out in our department found a rate of 12.7% of cases, dominated by infectious complications [ 1 ]; indeed, BBF surgery is a septic surgery, and the high incidence of postoperative infectious complications is therefore understandable. Therefore, every effort should be made to diagnose and manage these complications early to reduce the postoperative morbidity and mortality rate [ 22 , 43 ].…”

Section: Resultsmentioning

confidence: 99%

“…Release of the lung from the diaphragm allows access to the fistulous path and emptying of the pulmonary and hepatic pockets. In the case of scleroinflammatory tissues irritated by bile, some authors consider that it is unwise to perform extensive pulmonary resections on scleroinflammatory tissues corroded by bile; it is necessary to limit resections to a minimum, especially since the lesions are often reversible [ 1 , 2 ].…”

Section: Treatmentmentioning

confidence: 99%

“…Bilio-bronchial fistulization is an abnormal communication of the bile ducts with the tracheobronchial tree. In most cases, bilio-bronchial fistulas (BBF) complicate hepatic hydatidosis; however, they can also be seen, but rarely, in other hepato-biliary conditions [1][2][3]. It is a dreadful complication of liver hydatid cysts ruptured in the thorax because of the broncho-pleuro-parenchymal and hepato-biliary lesions that it can cause with a high perioperative mortality.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Bilio-bronchial and bilio-pleuro-bronchial fistulas of hydatic origin

Hammoumi¹,

Kabiri²

2021

kitp

View full text Add to dashboard Cite

Bilio-bronchial fistulization is a rare complication of neglected liver hydatid cysts ruptured in the thorax by anatomical contiguity. Because of the bronchopulmonary and hepato-biliary lesions that it can cause and in the context of severe infection, the morbimortality remains high in these fragile patients. The diagnosis is based on clinical arguments: biliptysis mainly with a hepatothoracic syndrome, imaging data showing the fistulous path, and especially bronchial and biliary endoscopy. The pretherapeutic stage aims at correcting the hydrolytic, anemic and nutritional defects, but above all at controlling the hepatobronchial infection after removal of the biliary obstruction (endoscopic sphincterotomy) and by broad-spectrum antibiotic therapy as well as active respiratory physiotherapy. This preparatory step may be sufficient, otherwise surgical sanction is necessary in operable patients to establish the hepato-phreno-thoracic disconnection. The choice of the thoracic or abdominal approach depends on the initial and progressive lesion assessment and on the surgical strategy envisaged.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Bilio-bronchial and bilio-pleuro-bronchial fistulas of hydatic origin

Hammoumi¹,

Kabiri²

2021

kitp

View full text Add to dashboard Cite

show abstract

“…The mortality is reported to be up to 12.7% in patients with BBF. 2 Here in, we report the clinical presentation and management of a patient with an acquired bronchobiliary fistula secondary to biliary obstruction after liver resection and Yttrium-90 (Y-90) therapy and briefly review the current literature.…”

Section: Manuscriptmentioning

confidence: 99%

Multimodal Approach to Acquired Bronchobiliary Fistula Secondary to Hepaticojejunostomy Stricture Following Yttruim-90 Therapy

Chopra

Devries

2022

The American Surgeon™

View full text Add to dashboard Cite

Bronchobiliary fistula (BBF) is an abnormal connection between the bronchial system and the biliary tree. It pathognomonically presents with bilioptysis (production of bilious-tinged sputum) and is associated with mortality rates up to 12.7%. Here we present a 56-year-old male with stage IV neuroendocrine pancreatic cancer status post pylorus-preserving pancreaticoduodenectomy. The patient developed an acquired BBF secondary to repeated Yttrium-90 radioembolization therapy that resulted in complete stenosis of the hepaticojejunostomy (HJ) anastomosis. The diagnosis was confirmed using cholescintigraphy and bronchoscopy. Biliary decompression with percutaneous transhepatic cholangiogram was unsuccessful, necessitating resection of the HJ anastomosis with salvage bilioenteric reconstruction using Kasai-type anastomosis between the pancreaticobiliary limb and hepatic duct. Complete resolution was noted following surgery. Although a minimally invasive approach to treatment of BBF may be favorable, patients with previous biliary reconstruction may warrant multimodal treatments including percutaneous procedures and complex surgical reconstructions.

show abstract

“…Internal fistulas are always caused by inflammation and occur mainly as late complications of gallstone or hydatid diseases, like biliobronchial fistulas [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Diagnosis and Treatment of Biliary Fistulas in the Laparoscopic Era

Crespi

Montecamozzo

Foschi

2016

Gastroenterology Research and Practice

View full text Add to dashboard Cite

Biliary fistulas are rare complications of gallstone. They can affect either the biliary or the gastrointestinal tract and are usually classified as primary or secondary. The primary fistulas are related to the biliary lithiasis, while the secondary ones are related to surgical complications. Laparoscopic surgery is a therapeutic option for the treatment of primary biliary fistulas. However, it could be the first responsible for the development of secondary biliary fistulas. An accurate preoperative diagnosis together with an experienced surgeon on the hepatobiliary surgery is necessary to deal with biliary fistulas. Cholecystectomy with a choledocoplasty is the most frequent treatment of primary fistulas, whereas the bile duct drainage or the endoscopic stenting is the best choice in case of minor iatrogenic bile duct injuries. Roux-en-Y hepaticojejunostomy is the extreme therapeutic option for both conditions. The sepsis, the level of the bile duct damage, and the involvement of the gastrointestinal tract increase the complexity of the operation and affect early and late results.

show abstract

Traitement des fistules biliobronchiques et bilio-pleuro-bronchiques d’origine hydatique par thoracotomie

Cited by 19 publications

References 5 publications

Bilio-bronchial and bilio-pleuro-bronchial fistulas of hydatic origin

Bilio-bronchial and bilio-pleuro-bronchial fistulas of hydatic origin

Multimodal Approach to Acquired Bronchobiliary Fistula Secondary to Hepaticojejunostomy Stricture Following Yttruim-90 Therapy

Diagnosis and Treatment of Biliary Fistulas in the Laparoscopic Era

Contact Info

Product

Resources

About