Treatment of a biliocutaneous fistula by endoscopic insertion of a nasobiliary tube

Burmeister, Wolfgang; Köppen, M.-O.; Wurbs, D

doi:10.1016/s0016-5107(85)72185-2

Cited by 19 publications

(12 citation statements)

References 8 publications

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“…One alternative to stent placement is the use of a nasobiliary tube [2,5,9,22]. These tubes can be removed without a repeat endoscopy, although a follow-up cholangiogram is usually performed.…”

Section: Discussionmentioning

confidence: 99%

Biliary stenting is more effective than sphincterotomy in the resolution of biliary leaks

et al. 1998

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Section: Discussionmentioning

confidence: 99%

Biliary stenting is more effective than sphincterotomy in the resolution of biliary leaks

et al. 1998

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“…Spontaneous closure can occur after endoscopic procedures like sphincterotomy, stenting or no biliary drainage (due to decreased pressure in the biliary system). [7,8] Surgery is planned in cases of failed conservative management. Surgery of choice in those circumstances is Roux-en-Y hepaticojejunostomy.…”

Section: Discussionmentioning

confidence: 99%

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

S¹,

Mohare²,

Sharma³

et al. 2018

jemds

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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.

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“…The recent development of endoscopic interventional techniques have changed the treatment decisions. Burmeister et al [9] and Sauerbruch et al [10] reported an effective treat ment with the endoscopic placement of a nasobiliary tube. Biliary stenting is an alternative which has been effective in many cases [11][12][13][14].…”

Section: Discussionmentioning

confidence: 99%

External Biliary Fistula Complicating Liver Hydatid Surgery

et al. 1993

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A group of 152 patients who underwent surgery for liver hydatid disease from 1982 to 1992 was studied. In all cases, the cysts were evacuated, part of the cyst wall was excised and the cavity edges were hemostatically sewn over. The residual cavity was obliterated and drained. Eight of these patients (5.2%) developed external biliary fistulas. In 2 cases the fistula stopped draining within 40 days. Six patients required reoperation due to septic complications (2 cases), long-standing high output fistula (1 case), obstructive jaundice (1 case) and a wide cavity-biliary tree communication (2 cases). At reoperation in all cases, suture of the communication between the residual cavity and the biliary tree was performed with further obliteration and drainage of the residual cavity. In 3 cases the common bile duct was explored, and in 1 patient a choledochoduodenostomy was performed. Four fistulas stopped draining in 4-6 weeks and two 10-16 weeks postoperatively. We conclude that in patients with large calcified hydatid cysts of the liver, partial capsectomy and suture of the communication between the residual cavity and biliary tree are essential steps to avoid biliary-cutaneous fistula formation. The initial treatment of biliary-cutaneous fistula is conservative but, if the fistula persists, stent insertion or endoscopic sphincterotomy is indicated. Should this fail, reoperation is unavoidable.

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Treatment of a biliocutaneous fistula by endoscopic insertion of a nasobiliary tube

Cited by 19 publications

References 8 publications

Biliary stenting is more effective than sphincterotomy in the resolution of biliary leaks

Biliary stenting is more effective than sphincterotomy in the resolution of biliary leaks

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

External Biliary Fistula Complicating Liver Hydatid Surgery

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