title: Spontaneous nonfistulous barium reflux into the biliary tract: association with duodenal ulcer disease. A report of four cases.
abstract: Reflux of barium into the bile duct system during a barium study of the upper gastrointestinal tract is rare in the absence of spontaneous or postoperative fistula. We report four patients, three men and one woman, who had such reflux, associated with active duodenal ulcer disease, shown at radiologic and endoscopic investigation. Reflux of gastrointestinal contents into the biliary tract can result from peptic ulcer disease with duodenal involvement. The finding does not necessarily imply fistulous communication, ulcer perforation, or surgical emergency.
authors.affiliation: Gastroenterology Unit, Rebecca Sieff Government Hospital, Safed, Israel.
authors.forename: A
authors.initials: A
authors.lastname: Prober
authors.forename: M
authors.initials: M
authors.lastname: Tobi
authors.forename: Y
authors.initials: Y
authors.lastname: Niv
mesh_terms: D000328:Adult; D000368:Aged; D001466:Barium Sulfate; D001649:Bile Duct Diseases / Q000209:etiology; D001653:Bile Ducts, Intrahepatic; D004381:Duodenal Ulcer / Q000150:complications / Q000000981:diagnostic imaging*; D004386:Duodenum / Q000000981:diagnostic imaging*; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000150:complications*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography
chemical_list: D001466:Barium Sulfate